Child_pugh_score_for_cirrhosis v.1
The Child pugh score for cirrhosis mortality score provides an estimate of the severity of cirrhosis
The Child pugh score for cirrhosis mortality provides an estimate of the severity of cirrhosis using lab values and clinical signs such as Ascites and Encephalopathy.
The score ranges from 1 to 15 by summing each individual score. The Encephalopathy score relates to grades. See below for details. The scores relate to different classes, A, B and C with associated life expectancy and management regarding abdominal surgery perio-perative mortality. Child Class A: Score between 1 and 6 Life Expectancy : 15-20 years Abdominal surgery peri-operative mortality: 10% Child Class B: Score between 7 and 9 Indication for translpant evaluation Abdominal surgery peri-operative mortality: 30% Child Class C: Score between 10 and 15 Life expectancy: 1-3 yrs Abdominal surgery peri-operative mortality: 82% Encephalopathy Grades (from the FDA) Grade 0: normal consciousness, personality, neurological examination, electroencephalogram Grade 1: restless, sleep disturbed, irritable/agitated, tremor, impaired handwriting, 5 cps waves Grade 2: lethargic, time-disoriented, inappropriate, asterixis, ataxia, slow triphasic waves Grade 3: somnolent, stuporous, place-disoriented, hyperactive reflexes, rigidity, slower waves Grade 4: unrousable coma, no personality/behavior, decerebrate, slow 2-3 cps delta activity
Do not use the score on its own for diagnostic purposes without supporting evidence
Ref. 1: Child CG, Turcotte JG. Surgery and portal hypertension. In: The liver and portal hypertension. Edited by CG Child. Philadelphia: Saunders 1964:50-64.
OBSERVATION.lab_test-bilirubin.v1, OBSERVATION.lab_test-serum_albumin.v1, OBSERVATION.child_pugh_score_for_cirrhosis_mortality.v1, EVALUATION.child_pugh_score_assessment.v1
