II. Indications
- Evaluating prognosis in Cirrhosis
III. Criteria
- Total Serum Bilirubin
-
Serum Albumin
- Albumin >3.5 g/dl: 1 point
- Albumin 2.8 to 3.5 g/dl: 2 point
- Albumin <2.8 g/dl: 3 point
- INR
- INR <1.70: 1 point
- INR 1.71 to 2.20: 2 point
- INR >2.20: 3 point
- Ascites
- Encephalopathy
- No Encephalopathy: 1 point
- Encephalopathy controlled medically: 2 point
- Encephalopathy poorly controlled: 3 point
IV. Interpretation
- Child Class A: 5 to 6 points
- Life Expectancy: 15 to 20 years
- Abdominal surgery peri-operative mortality: 10%
- Child Class B: 7 to 9 points
- Indicated for Liver Transplantation evaluation
- Abdominal surgery peri-operative mortality: 30%
- Child Class C: 10 to 15 points
- Life Expectancy: 1 to 3 years
- Abdominal surgery peri-operative mortality: 82%