Child-Pugh classification of cirrhosis
Jump to navigation
Jump to search
Introduction
The results of surgery for portal hypertension & variceal bleeding depend upon the patient's preoperative Child's classification. Child's criteria are used to assess the extent of liver disease.
- jaundice (serum bilirubin)
- ascites
- coagulopathy (prothrombin time)
- hypoalbuminemia (serum albumin)
- orientation (encephalopathy)
Point system:
1: absent
2: slight-moderate
3: tense
1: none
2: grades I-II
3: grades III-IV
serum albumin (g/dL)
1: > 3.5
2: 3.0-3.5
3: < 3.0
1: < 2.0
2: 2.0-3.0
3: > 3.0
prothrombin time (seconds > control)
1: < 4.0 (INR < 1.7)
2: 4.0-6.0 (INR 1.7-2.3)
3: > 6.0 (INR > 2.3)
| Class | Score | 1 year mortality |
|---|---|---|
| A | 5-6 | 0% |
| B | 7-9 | 20% |
| C | 10-15 | 55% |
Additional terms
References
- ↑ Manual of Medical Therapeutics, 28th ed, Ewald & McKenzie (eds), Little, Brown & Co, Boston, 1995, pg 352
- ↑ Cecil Textbook of Medicine, 20th ed, Bennett JC & Plum F eds, WB Saunders, Philadelphia, 1996, pg 789
- ↑ Infante-Rivard et al, Hepatology 7:660-64, 1987
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 11, 17, 18. American College of Physicians, Philadelphia 1998, 2015, 2018