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Criteria for Child-Pugh Classification

Score
Grade A = 5-6       Grade B = 7-9       Grade C = 10-15
Clinical and Biochemical
Measurements
Points Scored for
Increasing Abnormality
  1 2 3
 
Hepatic encephalopathy (grade)* 1 2 3 None 1 and 2 3 and 4

Ascites 1 2 3 Absent Mild Moderate

Total bilirubin (mg/dl) 1 2 3 < 2.0 2.0 - 3.0 > 3.0

Serum albumin (g/dl) 1 2 3 > 3.5 2.8 - 3.5 < 2.8

Prothrombin time (sec. prolonged)
or
Prothrombin time INR**
1 2 3 < 4
or
< 1.7
4 - 6
or
1.7 - 2.3
> 6
or
>2.3
*According to grading of Trey, Burns, and Saunders (1996).



Articles Pugh RNH, Murray-Lyon IM, Dawson JL, Pietroni MC and Williams R.
Transection of the esophagus for bleeding esophageal varices.
Brit. J. Surg. 60: 646-654, 1973.
 
**Lucey MR, Brown KA, Everson GT, Fung JJ, Gish R, Keeffe EB, et al.
Minimal Criteria for Placement of Adults on the Liver Transplant Waiting List
Liver Transplantation ans Surgery, Vol. 3, No 6 (November), 1997:pp 628-637

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