Child-Pugh score


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Child-Pugh score

assessment scale used in clinical staging of cirrhosis.
A scoring system used to assess the prognosis of chronic liver disease, mainly cirrhosis, to predict operative mortality, the need for titrate therapy and the need for liver transplantation

Child-Pugh score

Hepatology A scoring system used in Pts undergoing TIPS, which describes a range of severity of liver disease. See TIPS.
References in periodicals archive ?
The Child-Pugh score of majority of the patients was C (46.
A lot of non-invasive parameters associated with portal hypertension have been assessed in various studies for predicting high risk EVs for example splenic diameter, liver stiffness, platelet count, spleen thickness, Platelet/Spleen diameter ratio, Right liver lobe diameter/serum albumin ratios, international normalized ratio, serum albumin, portal vein diameter (PVD), Child-Pugh score and elastography.
In general, Child-Pugh score >7 or model of end liver disease score >11 for liver trauma combined with hepatic cirrhosis and transhepatic vessel embolism may be safer compared to surgery.
We included 130 participants in the control group and 57 patients with alcoholic liver cirrhosis that were classified into subgroups, according to the Child-Pugh score, as Child-Pugh A, Child-Pugh B, or Child-Pugh C.
The exclusion criteria were: HIV or HBV co-infection, hepatocellular carcinoma at baseline and Child-Pugh score higher than 9.
Multivariate analyses have demonstrated that active bleeding at emergency endoscopy, (27-31) variceal size, (32) Child-Pugh grade, (27,30-34) Child-Pugh score, (28,30,35,36) haematocrit levels, (27,35) bacterial infection, (30,35,37,38) encephalopathy, (28) portal vein thrombosis, (27) platelet count, (28) hepatocellular carcinoma, (32,35) continued alcohol abuse, (28,32,35) hypo-albuminaemia (30) and a hepatic venous pressure gradient >20 mmHg (35,39-42) measured shortly after admission have been identified as independent prognostic factors for early rebleeding (30) and significant predictors of risk for 5-day failure to control bleeding.
The outcome measures included child-pugh score, ascites, serum alanine aminotransferase (ALT), aspartate aminotransferase (AST), total billirubin, albumin, prothrombin time, platelet and white blood cells counts.
The median Child-Pugh score was 9 (range, 7-14), and the median bilirubin concentration was 36 [micro]mol/L (range, 6.
Additionally, of the 100 patients treated with BARACLUDE, 66 percent had an improvement or no worsening of the Child-Pugh Score (which assesses severity of hepatic decompensation), with 32 percent of patients having achieved a 2-point reduction in Child-Pugh score at Week 24; these rates were 61 percent and 35 percent, respectively, at Week 48.
Comparison of Diastolic Cardiac Function Among Different Classes of Child-Pugh Score Comparison of Diastolic Cardiac Function Among Different Classes of Child-Pugh Score Diastolic Cardiac Child-Pugh Class Function Parameters A(N=4) B (N=38) Mean [+ or -] SD Mean [+ or -] SD E wave 80.
In an international study a MELD score cut- off of 9 had 100% sensitivity and 81% specificity while a Child-Pugh score of 9 had 62% sensitivity and 77% specificity in assessing 3-month survival showing clearly that MELD has better predictive value10.