Huo et al modified the Child-Turcotte-Pugh (Child-Pugh) score to evaluate patients with cirrhosis and end-stage liver disease. The authors are from National Yang-Ming University and Taipei Veterans General Hospital in Taiwan.
Parameters that are the same as in the original score:
(1) grade of hepatic encephalopathy
(2) ascites
Parameters that have been extended from the original score:
(3) serum total bilirubin
(4) serum albumin
(5) prothrombin time
|
Parameter |
Finding |
Points |
|
total bilirubin |
< 2 mg/dL |
1 |
|
|
2 to 3 mg/dL |
2 |
|
|
3.1 to 8 mg/dL |
3 |
|
|
> 8 mg/dL |
4 |
|
serum albumin |
> 3.5 g/dL |
1 |
|
|
2.8 to 3.5 g/dL |
2 |
|
|
2.3 to 2.7 g/dL |
3 |
|
|
< 2.3 g/dL |
4 |
|
prothrombin time, in seconds prolonged beyond normal control |
< 4 seconds prolonged |
1 |
|
|
4 to 5.99 seconds prolonged |
2 |
|
|
6 to 11 seconds prolonged |
3 |
|
|
> 11 seconds prolonged |
4 |
|
grade of hepatic encephalopathy |
none |
1 |
|
|
Grade 1 or 2 |
2 |
|
|
Grade 3 or 4 |
3 |
|
ascites |
none |
1 |
|
|
mild, easily controlled |
2 |
|
|
severe, tense, poorly controlled |
3 |
total score =
= (bilirubin score) + (albumin score) + (PT score) + (encephalopathy score) + (ascites score)
Interpretation:
• minimum score: 5
• maximum score: 18
|
Grade |
Total Score |
Operative Risk |
|
A |
5 or 6 |
good |
|
B |
7, 8 , 9 |
moderate |
|
C |
10 to 15 |
poor |
|
D |
16, 17 or 18 |
|
Purpose: To evaluate a patient with cirrhosis using the modification of the Child-Turcotte-Pugh score proposed by Huo et al.
Specialty: Gastroenterology
Objective: severity, prognosis, stage
ICD-10: K70.3, K71.7, K74,
