Child Pugh Score – Liver Failure Prognosis Assessment

Child-Pugh Score Liver Failure Prognosis Assessment
[link url="../../digestive-system/meld/" memo="see also Model for End-Stage Liver Disease (MELD) Calculator"]
Measurements:
[select value="less than 2 mg/dl (1 point)=1|2-3 mg/dl (2 points)=2|greater than 3 mg/dl (3 points)=3" name="bilirubin"] <-- Total Serum Bilibrubin
[select value="greater than 3.5 g/dl (1 point)=1|2.8 to 3.5 g/dl (2 points)=2|less than 2.8 g/dl (3 points)=3" name="albumin"] <-- Serum Albumin
[select value="
[select value="less than 1.70 (1 point)=1|1.70 to 2.20 (2 points)=2|greater than 2.20 (3 points)=3" name="INR"]  <-- INR
[select value="No Ascites (1 point)=1|Ascites controlled medically (2 points)=2|Ascites poorly controlled (3 points)=3" name="ascites"]  <-- Ascites
[select value="No Encephalopathy (1 point)=1|Encephalopathy controlled medically (2 points)=2|Encephalopathy poorly controlled (3 points)=3" name="encephalopathy"]  <-- Encephalopathy
Assessment:
Score:  [calc memo="score" value="score=(bilirubin)+(albumin)+(INR)+(ascites)+(encephalopathy)"].  Interpretation:  [calc memo="interpretation" value="score=(bilirubin)+(albumin)+(INR)+(ascites)+(encephalopathy); score>9?'Class C:  Life expectancy: 1 to 3 years, Abdominal surgery peri-operative mortality: 82%':score>6?'Class B:  Indicated for liver transplantation evaluation, Abdominal surgery peri-operative mortality: 30%':'Class A:  Life expectancy: 15 to 20 years, Abdominal surgery peri-operative mortality: 10%'"]
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reference:
[link url="//www.fpnotebook.com/GI/Exam/ChldPghScr.htm" memo="#1"] Family Practice Notebook
[link url="//www.ncbi.nlm.nih.gov/pubmed/4950264" memo="#2"] Child CG, Turcotte JG. Surgery and portal hypertension. Major Probl Clin Surg. 1964;1:1-85.
[link url="//www.ncbi.nlm.nih.gov/pubmed/4541913" memo="#3"] Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection ofthe oesophagus for bleeding oesophageal varices. Br J Surg. 1973 Aug;60(8):646-9.
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