Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
    • Disease is diagnosed: prognosticate to guide treatmentPrognosis
    • Numerical inputs and outputsFormula
    • Med treatment and moreTreatment
    • Suggested protocolsAlgorithm

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    Patent Pending

    Child-Pugh Score for Cirrhosis Mortality

    Estimates cirrhosis severity.
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    Pearls/Pitfalls
    The Child-Pugh Score can be useful in the prognosis of patients with cirrhosis, but more recent scores like the MELD score and MELD-Na have become more used given their better prognostic value.

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    Next Steps
    Evidence
    Creator Insights

    Advice

    For patients with unexpectedly high or low scores, consider comparing the Child-Pugh score with another score like the MELD Score.

    Formula

    Addition of assigned points.

    Facts & Figures

    Encephalopathy Grades (from the FDA)

    • Grade 0: normal consciousness, personality, neurological examination, electroencephalogram
    • Grade 1: restless, sleep disturbed, irritable/agitated, tremor, impaired handwriting, 5 cps waves
    • Grade 2: lethargic, time-disoriented, inappropriate, asterixis, ataxia, slow triphasic waves
    • Grade 3: somnolent, stuporous, place-disoriented, hyperactive reflexes, rigidity, slower waves
    • Grade 4: unrousable coma, no personality/behavior, decerebrate, slow 2-3 cps delta activity
    Dr. Charles G. Child

    About the Creator

    Charles G. Child, MD, (d. 1991), was a professor emeritus of surgery at the University of Michigan and Emory University and was chairman of the department of surgery at University of Michigan. He was a founder of the organ-transplant program at Michigan during his tenure there, and he was editor of the Journal of Surgical Research and chairman of the American Board of Surgery. He was an active researcher in his field, investigating portal hypertension and other hepatic and gastrointestinal diseases. He published numerous studies and was co-author on multiple books.

    To view Dr. Charles G. Child's publications, visit PubMed