CHILD-TURCOTTE-PUGH SCORE

·         Clinical staging of cirrhosis

·         Used to predict surgical risks while performing intra-abdominal surgeries in patients with cirrhosis.

CHILD-TURCOTTE-PUGH SCORE
VARIABLE	1 POINT	2 POINTS	3 POINTS
Serum Bilirubin	< 2 mg/dL	2-3 mg/dL	>3 mg/dL
Serum Albumin	> 3.5 g/dL	2.8-3.5 g/dL	< 2.8 g/dL
PT (seconds prolonged) INR	0-4 s < 1.7	4-6 s 1.7-2.2	>6 s >2.2
Ascites	None	Controlled	Uncontrolled
Hepatic Encephalopathy	None	Controlled	Uncontrolled

CHILD-TURCOTTE-PUGH CLASS
GRADES	POINTS	SURGICAL MORTALITY
GRADE A	5-6 Points	10 %
GRADE B	7-9 Points	30 %
GRADE C	10-15 Points	75-80 %