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Child-Turcotte-Pugh Score -Classification of liver dysfunction


The Child–Pugh score is 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.
hepatic
Bilirubin, mg/dl (umol/l): 
<2 (<34)
2-3 (34-50)
>3 (>50)
Albumin (g/dL):
>3.5     
3.5-2.8 
<2.8 
PT prolongation (INR):
<4 seconds (<1.7)   
4-6 seconds (1.7-2.3)
>6 seconds (>2.3) 
Ascites:
Absent   
Slight
Moderate
Encephalopathy:
None
Grade 1-2 Info
Grade 3-4 Info
References
Child CG, Turcotte JG. Surgery and portal hypertension. In: The liver and portal hypertension. Edited by CG Child. Philadelphia: Saunders 1964:50-64.

Pugh RNH, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection of the esophagus in bleeding oesophageal varices. Br J Surg 1973;60:648-52.

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