Gastroenterology Book

Anorectal Disorders

Ascites

Bowel Disorders

Cirrhosis

Miscellaneous

Pancreatic Disorders

Peptic Ulcer Disease

Splenic Disorders

Symptoms

Dermatology Chapter related topics

http://www.fpnotebook.com/

Child-Pugh Score

Advertisement

  1. Indications
    1. Evaluating prognosis in Cirrhosis
  2. Criteria
    1. Total Serum Bilirubin
      1. Bilirubin <2 mg/dl: 1 point
      2. Bilirubin 2-3 mg/dl: 2 points
      3. Bilirubin >3 mg/dl: 3 points
    2. Serum Albumin
      1. Albumin >3.5 g/dl: 1 point
      2. Albumin 2.8 to 3.5 g/dl: 2 point
      3. Albumin <2.8 g/dl: 3 point
    3. INR
      1. INR <1.70: 1 point
      2. INR 1.71 to 2.20: 2 point
      3. INR >2.20: 3 point
    4. Ascites
      1. No Ascites: 1 point
      2. Ascites controlled medically: 2 point
      3. Ascites poorly controlled: 3 point
    5. Encephalopathy
      1. No Encephalopathy: 1 point
      2. Encephalopathy controlled medically: 2 point
      3. Encephalopathy poorly controlled: 3 point
  3. Interpretation
    1. Child Class A: 5 to 6 points
      1. Life expectancy: 15 to 20 years
      2. Abdominal surgery peri-operative mortality: 10%
    2. Child Class B: 7 to 9 points
      1. Indicated for liver transplantation evaluation
      2. Abdominal surgery peri-operative mortality: 30%
    3. Child Class C: 10 to 15 points
      1. Life expectancy: 1 to 3 years
      2. Abdominal surgery peri-operative mortality: 82%
  4. References
    1. Mansour (1997) Surgery 122:730
    2. Propst (1995) Dig Dis Sci 40:1805
    3. Riley (2001) Am Fam Physician 64:1735

Navigation Tree