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Child-Pugh Score for Cirrhosis Mortality

Estimates cirrhosis severity

作成者Dr. Charles G. Child (1908-1991), MD
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Introduction
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%

すべての質問と考えられる結果

Questionsタイトルは非表示です
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

 

GradeDescription
0Normal consciousness, personality, neuro exam, EEG.
1Restless, sleep disturbed, irritable, tremor, impaired handwriting, 5 cps waves
2Lethargic, time-disoriented, inappropriate, asterixis, ataxia, slow triphasic waves
3Somnolent, stuporous, place-disoriented, hyperactive reflexes, rigidity, slower waves
4Unrousable coma, no personality, decerebrate, slow 2-3 cps delta activity

 

Source: FDA

Select one option:

  • No encephalopathy
  • Grade 1-2
  • Grade 3-4
考えられる結果
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.

引用

Child CG, Turcotte JG. Surgery and portal hypertension. Major Probl Clin Surg. 1964;1:1-85. PMID: 4950264.

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