Summary
Usage The Child-Pugh Score estimates cirrhosis severity and can be used to assess the prognosis of patients with cirrhosis. More recent scores, such as the MELD score, provide better prognostic value, and have become more widely used.. Summary The Child-Pugh (CTP) Score is obtained by adding the points for each parameter. Parameter1 point2 Points3 PointsAscitesAbsentSlightModerateEncephalopathyAbsentGrade 1-2Grade 3-4Bilirubin (mg/dL)< 22 - 3> 3Albumin (g/dL)> 3.52.8 - 3.5< 2.8INR< 1.71.7 - 2.3> 2.3 Class A (5 - 6 points)Life Expectancy: 15-20 yearsAbdominal surgery peri-operative mortality: 10% Class B (7 - 9 points)Indication for transplant evaluation.Abdominal surgery peri-operative mortality: 30% Class C (10 - 15 points)Life expectancy: 1-3 yearsAbdominal surgery peri-operative mortality: 82%.