Child's classification (liver cirrhosis) - General.
Chronic liver disease is assessed through Child-Pugh score system which is based on five variables: the presence of ascites and encephalopathy, plasma concentrations of bilirubin and albumin and prothrombin time. The Child-Pugh score indicates the level of chronic hepatic damage: score 5-6 is class A (mild); 7-9 corresponds to class B (mod-.
Recommended for All Patients With HCV Infection Who Have Decompensated Cirrhosis; RECOMMENDED RATING: Patients with HCV infection who have decompensated cirrhosis—moderate or severe hepatic impairment, ie, Child-Turcotte-Pugh (CTP) class B or class C—should be referred to a medical practitioner with expertise in that condition, ideally in a liver transplant center.
In contrast to the Child-Turcotte-Pugh classification, the model for end-stage liver disease (MELD) score estimates the severity of end-stage liver disease, regardless of cause, based solely on objective results of laboratory tests: serum creatinine, serum total bilirubin, and international normalized ratio (INR).
Child-Pugh score. The Child-Pugh classification (sometimes the Child-Turcotte-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.
B Class: 07-09 points. Your condition is rated moderate. You may have surgery. C Class: 10-15 points. Your condition is rated severe. Except for a liver transplant, you probably shouldn't have surgery. Some questions arise as to whether the Child-Pugh score is valid because some scores are subjective.
The study was designed to evaluate whether Child-Pugh score discriminates a prognosis of the Child-Pugh A patients who underwent hepatic resection for hepatocellular carcinoma. 361 patients with Child-Pugh A who underwent curative hepatectomy were divided into 2 groups: Child-Pugh score 5 points group (CPS5) and Child-Pugh score 6 points group (CPS6) were compared.
Relationship of Child-Pugh classification with liver function tests and its clinical implication in patients of chronic liver disease November 2012 Medical Forum Monthly 23(11):71-74.