Child-Trucotte-Pugh classification of severity of cirrhosis

 

Child-Trucotte-Pugh classification of severity of cirrhosis

 

 

Parameter	Points assigned
	1	2	3
Ascites	Absent	Slight	Moderate
Bilirubin	<2 mg/dL (<34.2 micromol/liter)	2 to 3 mg/dL (34.2 to 51.3 micromol/liter)	>3 mg/dL (>51.3 micromol/liter)
Albumin	>3.5 g/dL (35 g/liter)	2.8 to 3.5 g/dL (28 to 35 g/liter)	<2.8 g/dL (<28 g/liter)
Prothrombin time
Seconds over control	<4	4 to 6	>6
INR	<1.7	1.7 to 2.3	>2.3
Encephalopathy	None	Grade 1 to 2	Grade 3 to 4

 

 

Modified Child-Turcotte-Pugh classification of

the severity of liver disease

 

according to the degree of ascites,

the serum concentrations of bilirubin and albumin,

the prothrombin time,

and the degree of encephalopathy.

 

 

A total Child-Turcotte-Pugh score of

 

5 to 6 is considered class A (well-compensated disease);

 

7 to 9 is class B (significant functional compromise);

 

and 10 to 15 is class C (decompensated disease).

 

These classes correlate with one- and two-year patient survival:

 

class A: 100 and 85 percent;

class B: 80 and 60 percent; and

class C: 45 and 35 percent.

 

Graphic 78401 Version 8.0

 

Child Turcotte classification of patients with cirrhosis

 

Parameter	A	B	C
Ascites	None	Easily controlled	Poorly controlled
Bilirubin	<2 mg/dL (<34.2 micromol/liter)	2-3 mg/dL (34.2 to 51.3 micromol/liter)	>3 mg/dL (>51.3 micromol/liter)
Albumin	>3.5 g/dL (>35 g/liter)	3.0-3.5 g/dL (30 to 35 g/liter)	<3.0 g/dL (<30 g/liter)
Encephalopathy	None	Mild	Advanced
Nutritional status	Excellent	Good	Poor

 

Graphic 56436 Version 2.0