Child-Pugh classification
From IDWiki
Background
- Clinical score to predict mortality from cirrhosis
- Online calculator exists at MDCalc
- See also MELD or MELD-Na
Criteria
| Item | +1 | +2 | +3 |
|---|---|---|---|
| Total bilirubin (µmol/L) | <34.2 | 34.2 to 51.3 | >51.3 |
| Albumin (g/L) | >35 | 28 to 35 | <28 |
| INR | <1.7 | 1.7 to 2.2 | >2.2 |
| Ascites | Absent | Slight | Moderate |
| Encephalopathy | Absent | Grade 1 to 2 | Grade 3 to 4 |
Interpretation
| Points | Class | Life Expectancy | Perioperative Mortality With Abdominal Surgery |
|---|---|---|---|
| 5 to 6 | A | 15 to 20 years | 10% |
| 7 to 9 | B | 30% | |
| 10 to 15 | C | 1 to 3 years | 80% |
