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%
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Related Studies
| Definition (NCI) | Used to assess the prognosis of chronic liver disease, mainly cirrhosis. Although it was originally used to predict mortality during surgery, it is now used to determine the prognosis, as well as the required strength of treatment and the necessity of liver transplantation. |
| Concepts | Intellectual Product (T170) |
| English | Child-Pugh Score, Child-Pugh Classification |
