Liver Function Assessment

LIVER FUNCTION ASSESSMENT
Child-Pugh Score is used to assess residual liver function and injury severity in cirrhosis patients.
CHILD-PUGH SCORE
Criteria	1 point	2 points	3 points
Total serum bilirubin (mg/dL)	<2	2−3	>3
Serum albumin (g/dL)	>3.5	2.8−3.5	<2.8
INR	<1.70	1.71−2.20	>2.20
Ascites	No ascites	Ascites controlled	Ascites not controlled
Encephalopathy	No encephalopathy	Encephalopathy controlled	Encephalopathy not controlled
INTERPRETATION OF CHILD-PUGH SCORES
	Class A	Class B	Class C
Points	5−6	7−9	10−15
Life expectancy	15−20 years	Candidate for liver transplant	1−3 years
Perioperative mortality	10%	30%	82%

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