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Child Pugh Score – Liver Failure Prognosis Assessment
Aug 23, 2010
•
Mark Morgan
categories:
Gastroenterology & Hepatology
Child-Pugh Score Liver Failure Prognosis Assessment
see also Model for End-Stage Liver Disease (MELD) Calculator
Measurements:
less than 2 mg/dl (1 point)
2-3 mg/dl (2 points)
greater than 3 mg/dl (3 points)
<-- Total Serum Bilibrubin
greater than 3.5 g/dl (1 point)
2.8 to 3.5 g/dl (2 points)
less than 2.8 g/dl (3 points)
<-- Serum Albumin
less than 1.70 (1 point)
1.70 to 2.20 (2 points)
greater than 2.20 (3 points)
<-- INR
No Ascites (1 point)
Ascites controlled medically (2 points)
Ascites poorly controlled (3 points)
<-- Ascites
No Encephalopathy (1 point)
Encephalopathy controlled medically (2 points)
Encephalopathy poorly controlled (3 points)
<-- Encephalopathy
Assessment:
Score:
score
score=(bilirubin)+(albumin)+(INR)+(ascites)+(encephalopathy)
. Interpretation:
interpretation
score=(bilirubin)+(albumin)+(INR)+(ascites)+(encephalopathy); score>9?'Class C: Life expectancy: 1 to 3 years, Abdominal surgery peri-operative mortality: 82%':score>6?'Class B: Indicated for liver transplantation evaluation, Abdominal surgery peri-operative mortality: 30%':'Class A: Life expectancy: 15 to 20 years, Abdominal surgery peri-operative mortality: 10%'
display/hide references
reference:
#1
Family Practice Notebook
#2
Child CG, Turcotte JG. Surgery and portal hypertension. Major Probl Clin Surg. 1964;1:1-85.
#3
Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection ofthe oesophagus for bleeding oesophageal varices. Br J Surg. 1973 Aug;60(8):646-9.
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