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Child-Pugh criteria

German: Child-Pugh-Kriterien

Definition

The Child-Pugh criteria are used for the standardized description and classification of hepatic cirrhosis. The criteria use the severity of symptoms to rank the disease into various levels. The ranking into levels allows for a more appropriate therapy and for making a more accurate prognosis.

Child and Turcotte used the dietary condition in their original version of the score. Pugh then modified the criteria by replacing it with the Quick’s value.

  Parameter 1 Punkt 2 Punkte 3 Punkte
serum albumin in g/dl >3,5 2,8–3,5 <2,8
bilirubin in mg/dl
(µmol/l)
<2,0
(<35)
2,0–3,0
(35–50)
>3,0
(>50)
bilirubin with PBC and PSC in mg/dl
(µmol/l)
<4,0
(<70)
4–10
(70–170)
>10,0
(>170)
Quick (%) >70 40–70 <40
resp. INR <1,70 1,71-2,20 >2,20
Ascites in sonography none medium massive
Stage of enzephalopathy none I–II III–IV
  Stage   Score   1 year survival rate
Child A 5–6 ca. 100 %
Child B 7–9 ca. 85 %
Child C 10–15 ca. 35 %

Alternatively the MELD-score can be used for the classification.

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