Child-Pugh score
Gastroenterology and hepatology
Also known as: Child-Turcotte-Pugh score · Child-Pugh-Score · Child-Turcotte-Pugh-Klassifikation · Child-Pugh skoru · Child-Turcotte-Pugh sınıflaması · Child-Pugh score (Child-Turcotte-Pugh, severity of cirrhosis)
What it is for
Score of the severity of chronic liver disease, mainly cirrhosis, built from five findings. Each finding gives 1 to 3 points, so the total runs from 5 to 15 and is reported as class A, B or C.
Classification
| Category | Description |
|---|---|
| Total bilirubin | 1 point below 2 mg/dL (below 34 µmol/L); 2 points 2–3 mg/dL (34–50 µmol/L); 3 points above 3 mg/dL (above 50 µmol/L) |
| Serum albumin | 1 point above 3.5 g/dL (above 35 g/L); 2 points 2.8–3.5 g/dL; 3 points below 2.8 g/dL |
| International normalised ratio (INR) | 1 point below 1.7; 2 points 1.7–2.3; 3 points above 2.3 (older form: prothrombin time prolonged by less than 4 s, 4–6 s, more than 6 s) |
| Ascites | 1 point none; 2 points slight (mild); 3 points moderate or more |
| Hepatic encephalopathy | 1 point none; 2 points grade 1–2 (or controlled with medication); 3 points grade 3–4 (or refractory) |
| Class A | 5–6 points |
| Class B | 7–9 points |
| Class C | 10–15 points |
| History | Child and Turcotte (1964) used bilirubin, albumin, ascites, encephalopathy and nutritional status; Pugh (1973) replaced nutritional status with prothrombin time and added points. |
Source
Transection of the oesophagus for bleeding oesophageal varices
Br J Surg 1973;60:646–649 (Pugh RN et al.)
PMID: 4541913
- Edition
- Child-Pugh (Pugh 1973 modification of Child-Turcotte 1964), with INR in place of prothrombin time in current use
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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