Child-Pugh Score for Cirrhosis Mortality
Estimates cirrhosis severity
Creatore
Dr. Charles G. Child (1908-1991), MDIntroduction
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.
Scoring
The Child-Pugh (CTP) Score is obtained by adding the points for each parameter.
Parameter | 1 point | 2 Points | 3 Points |
Ascites | Absent | Slight | Moderate |
Encephalopathy | Absent | Grade 1-2 | Grade 3-4 |
Bilirubin (mg/dL) | < 2 | 2 - 3 | > 3 |
Albumin (g/dL) | > 3.5 | 2.8 - 3.5 | < 2.8 |
INR | < 1.7 | 1.7 - 2.3 | > 2.3 |
Class A (5 - 6 points)
Life Expectancy: 15-20 years
Abdominal 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 years
Abdominal surgery peri-operative mortality: 82%
Tutte le domande e i risultati possibili
QuestionsTitolo non visibile
Bilirubin (Total)
Select one option:
- < 2 mg/dL (< 34.2 µmol/L)
- 2 - 3 mg/dL (34.2 - 51.3 µmol/L)
- > 3 mg/dL (> 51.3 µmol/L)
Albumin
Select one option:
- >3.5 g/dL (> 35 g/L)
- 2.8 - 3.5 g/dL (28 - 35 g/L)
- <2.8 g/dL (< 28 g/L)
INR
Select one option:
- < 1.7
- 1.7 - 2.3
- > 2.3
Ascites
Select one option:
- Absent
- Slight
- Moderate
Encephalopathy
| Grade | Description |
| 0 | Normal consciousness, personality, neuro exam, EEG. |
| 1 | Restless, sleep disturbed, irritable, tremor, impaired handwriting, 5 cps waves |
| 2 | Lethargic, time-disoriented, inappropriate, asterixis, ataxia, slow triphasic waves |
| 3 | Somnolent, stuporous, place-disoriented, hyperactive reflexes, rigidity, slower waves |
| 4 | Unrousable coma, no personality, decerebrate, slow 2-3 cps delta activity |
Source: FDA
Select one option:
- No encephalopathy
- Grade 1-2
- Grade 3-4
Risultati possibili
Child Class B (7-9 pts)
Indication for transplant evaluation.
Abdominal surgery peri-operative mortality: 30%
Consider comparing the Child-Pugh score to another score (like the MELD Score) when there is an unexpectedly high or low score.
Child Class A (5-6 pts)
Life Expectancy: 15-20 years
Abdominal surgery peri-operative mortality: 10%
Consider comparing the Child-Pugh score to another score (like the MELD Score) when there is an unexpectedly high or low score.
Child Class C (10-15 pts)
Life expectancy: 1-3 years
Abdominal surgery peri-operative mortality: 82%
Consider comparing the Child-Pugh score to another score (like the MELD Score) when there is an unexpectedly high or low score.
Citazione
Child CG, Turcotte JG. Surgery and portal hypertension. Major Probl Clin Surg. 1964;1:1-85. PMID: 4950264.
Letteratura
Surgery and portal hypertension. Major Probl Clin Surg. 1964;1:1-85.
https://pubmed.ncbi.nlm.nih.gov/4950264/Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973 Aug;60(8):646-9.
https://pubmed.ncbi.nlm.nih.gov/4541913/
- Creatore
- CreatoreDr. Richard N. Pugh, MDDistinguished researcher who worked for the liver unit and department of radiology at King's College Hospital and Medical School in London and was a faculty of medicine and health sciences at UAE University.
- Fornito da
EVAL Foundation
- Collaboratore · Revisore
Jennifer Glen, DNP, FNP-BCEVAL Health, Chief Medical Officer EVAL Foundation
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