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Subjects with a score ≥4.1 compared to those with a score less then 4.1, had a higher risk of decompensation (sHR 6.7, 95% CI 4.0-11.2, p less then 0.001), a greater five-year cumulative incidence (37% versus 6%, p less then 0.001) and shorter mean duration to decompensation (3.8 vs 6.7 years, p less then 0.001). The accuracy of the ABIDE model at 5 years was good in the derivation (tAUC 0.80, 95% CI 0.73-0.84) and validation cohorts (0.78, 95% CI 0.74-0.81) and was significantly more accurate than the NFS (0.72), FIB-4 (0.74), MELD (0.6