Gastroenterology Book

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Child-Pugh Score

Aka: Child-Pugh Score, Child-Pugh Class, Child-Pugh
  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 122:730-5 [PubMed]
    2. Propst (1995) Dig Dis Sci 40:1805-15 [PubMed]
    3. Riley (2001) Am Fam Physician 64:1735-40 [PubMed]

Child-Pugh Classification (C2347612)

Definition (NCI) Used to assess the prognosis of chronic liver disease, mainly cirrhosis. Although it was originally used to predict mortality during surgery, it is now used to determine the prognosis, as well as the required strength of treatment and the necessity of liver transplantation.
Concepts Intellectual Product (T170)
English Child-Pugh Score, Child-Pugh Classification
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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