Child-Pugh score
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The Child-Pugh score is a scoring system to measure the severity of chronic liver disease inclusive of cirrhosis.
It is composed several point categories which include:
- total bilirubin, μmol/l (mg/dl)
- <
; 34;34: 1 point - 34
- 50-50: 2 points - >
; 50;50: 3 points
- <
- serum albumin, g/l
- >
; 35;35: 1 point - 28
- 35-35 : 2 points - <
; 28;28: 3 points
- >
- INR
- <
; 1;1.7: 1:1 point - 1.7
- 2-2.3: 2 points - >
; 2;2.3: 3 points
- <
- presence of ascites
- none: 1 point
- mild: 2 points
- moderate to severe: 3 points
- presence of hepatic encephalopathy
- none: 1 point
- grades I
- II-II (or suppressed with medication): 2 point - grades III-IV (or refractory): 3 point
The point scores are then added up and classed as three categories such as:
-
class A:
:5- 6-6 points -
class B:
:7- 9-9 points -
class C:
:10- 15-15 points
-<p>The <strong>Child-Pugh score</strong> is a scoring system to measure the severity of chronic liver disease inclusive of <a href="/articles/cirrhosis" title="Cirrhosis">cirrhosis</a></p><p>It is composed several point categories which include</p><ul>-<li>total bilirubin, μmol/l (mg/dl) <ul>-<li>< 34 : 1 point</li>-<li>34 - 50 : 2 points</li>-<li>> 50 : 3 points</li>- +<p>The <strong>Child-Pugh score</strong> is a scoring system to measure the severity of chronic liver disease inclusive of <a href="/articles/cirrhosis">cirrhosis.</a></p><p>It is composed several point categories which include:</p><ul>
- +<li>total bilirubin, μmol/l (mg/dl)<ul>
- +<li><34: 1 point</li>
- +<li>34-50: 2 points</li>
- +<li>>50: 3 points</li>
-<li>serum albumin, g/l <ul>-<li>> 35 : 1 point</li>-<li>28 - 35 : 2 points</li>-<li>< 28 : 3 points</li>- +<li>serum albumin, g/l<ul>
- +<li>>35: 1 point</li>
- +<li>28-35 : 2 points</li>
- +<li><28: 3 points</li>
-<li>INR <ul>-<li>< 1.7 : 1 point</li>-<li>1.7 - 2.3 : 2 points </li>-<li>> 2.3 : 3 points</li>- +<li>INR<ul>
- +<li><1.7:1 point</li>
- +<li>1.7-2.3: 2 points</li>
- +<li>>2.3: 3 points</li>
-<li>presence of <a href="/articles/ascites" title="Ascites">ascites </a><ul>-<li>none : 1 point</li>-<li>mild : 2 points</li>-<li>moderate to severe : 3 points</li>- +<li>presence of <a href="/articles/ascites">ascites </a><ul>
- +<li>none: 1 point</li>
- +<li>mild: 2 points</li>
- +<li>moderate to severe: 3 points</li>
-<li>presence of <a href="/articles/hepatic-encephalopathy" title="hepatic encephalopathy">hepatic encephalopathy </a><ul>-<li>none : 1 point</li>-<li>grades I - II (or suppressed with medication) : 2 point</li>-<li>grades III-IV (or refractory) : 3 point</li>- +<li>presence of <a href="/articles/hepatic-encephalopathy">hepatic encephalopathy </a><ul>
- +<li>none: 1 point</li>
- +<li>grades I-II (or suppressed with medication): 2 point</li>
- +<li>grades III-IV (or refractory): 3 point</li>
-</ul><p>The point scores are then added up and classed as three categories such as </p><ul>- +</ul><p>The point scores are then added up and classed as three categories such as:</p><ul>
-<strong>class A</strong> : 5 - 6 points</li>- +<strong>class A:</strong> 5-6 points</li>
-<strong>class B</strong> : 7 - 9 points</li>- +<strong>class B:</strong> 7-9 points</li>
-<strong>class C</strong> : 10 - 15 points</li>- +<strong>class C:</strong> 10-15 points</li>
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