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Child-Pugh Score
Aka: Child-Pugh Score, Child-Pugh Class, Child-Pugh
- Indications
- Evaluating prognosis in Cirrhosis
- Criteria
- Total Serum Bilirubin
- Bilirubin <2 mg/dl: 1 point
- Bilirubin 2-3 mg/dl: 2 points
- Bilirubin >3 mg/dl: 3 points
- 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
- No Ascites: 1 point
- Ascites controlled medically: 2 point
- Ascites poorly controlled: 3 point
- Encephalopathy
- No Encephalopathy: 1 point
- Encephalopathy controlled medically: 2 point
- Encephalopathy poorly controlled: 3 point
- 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%
- References
- Mansour (1997) Surgery 122:730-5 [PubMed]
- Propst (1995) Dig Dis Sci 40:1805-15 [PubMed]
- Riley (2001) Am Fam Physician 64:1735-40 [PubMed]