Child-Pugh-Score

The Child -Pugh score (Child -Pugh criteria), also known as Child - Turcotte -Pugh score is used in medicine to make a staging of liver cirrhosis. At the same time the patient's prognosis can be estimated on the basis of these stages. The Child-Pugh criteria were published first time in 1964 by C. G. Child and J. G. Turcotte (University of Michigan) and modified in 1972 by Pugh (see literature). A recent score, the Child -Pugh score, especially in transplantation medicine increasingly being replaced, the MELD score.

Creation of the score

It creates an overall score based on five criteria ( three laboratory values ​​and two clinical findings ), each 1-3 points will be awarded, so that a score can be achieved 5-15.

The values ​​and units may be slightly different depending on the author and publication.

If any of the cholestatic liver disease primary biliary cirrhosis ( PBC) or primary sclerosing cholangitis ( PSC) are different reference ranges for bilirubin:

1 point: bilirubin <4.0 mg / dl; 2 points: 4-10 mg / dl; 3 points > 10.0 mg / dl.

Stadiums and statements regarding forecast

On the basis of the score is divided into the Child-Pugh stages A to C: