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Cirrhosis classification





Child-Pugh score - Wikipedia, the free encyclopedia

11/25/2014
10:29 | Author: Christina Harris

Cirrhosis classification
Child-Pugh score - Wikipedia, the free encyclopedia

In primary sclerosing cholangitis (PSC) and primary biliary cirrhosis (PBC), the it replace Child-Pugh's classification for assessing prognosis in cirrhosis?".

Different textbooks and publications use different measures. Some older reference works substitute PT prolongation for INR.

The score employs five clinical measures of liver disease. Each measure is scored 1-3, with 3 indicating most severe derangement.

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Chronic liver disease is classified into Child-Pugh class A to C, employing the added score from above. MELD Score.

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In medicine ( gastroenterology ), the Child-Pugh score (sometimes the Child-Turcotte-Pugh score ) is used to assess the prognosis of chronic liver disease, mainly cirrhosis. Although it was originally used to predict mortality during surgery, it is now used to determine the prognosis, as well as the required strength of treatment and the necessity of liver transplantation.

The upper limit for 1 point is 68 μmol/l (4 mg/dl) and the upper limit for 2 points is 170 μmol/l (10 mg/dl). In primary sclerosing cholangitis (PSC) and primary biliary cirrhosis (PBC), the bilirubin references are changed to reflect the fact that these diseases feature high conjugated bilirubin levels.

It was modified by Pugh et al in 1972 in a report on surgical treatment of bleeding from esophageal varices. Dr C.G. They replaced Child's criterion of nutritional status with the prothrombin time or INR, and assigned scores of 1-3 to each variable. M : DIG. Turcotte of the University of Michigan first proposed the scoring system in 1964 in a textbook on liver disease. Child and Dr J.G.

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Child-Pugh Score for Cirrhosis Mortality - MDCalc

11/24/2014
08:02 | Author: Evan Martin

Cirrhosis classification
Child-Pugh Score for Cirrhosis Mortality - MDCalc

References. Child CG, Turcotte JG. Surgery and portal hypertension. In: The liver and portal hypertension. Edited by CG Child. Philadelphia: Saunders.

MDCalc 2014.

Calculations must be re-checked, shouldn't be used alone for patient care, and don't substitute for professional judgment. See our full disclaimer. Estimates cirrhosis severity.

Calculations must be re-checked and should not be used alone to guide patient care nor should they substitute for clinical judgement. disclaimer.

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Assessment of Prognosis of Cirrhosis Child39s Score - Medscape

9/23/2014
06:53 | Author: Kate Thompson

Cirrhosis classification
Assessment of Prognosis of Cirrhosis Child39s Score - Medscape

Once patients with cirrhosis experience decompensation, early mortality risk increases sharply.

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The Child-Pugh score Prognosis in chronic liver disease and

7/22/2014
04:24 | Author: Devin Garcia

Cirrhosis classification
The Child-Pugh score Prognosis in chronic liver disease and

Others have suggested that its broad classifications of disease are to assess the severity and prognosis of chronic liver disease and cirrhosis.

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2. The Child-Pugh score was originally developed in 1973 to predict surgical outcomes in patients presenting with bleeding esophageal varices.

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The Child-Pugh score: Prognosis in chronic liver disease and cirrhosis.

In-Depth : This study, originally published in 1973 in the British Journal of Surgery, sought to determine whether clinical features could help predict surgical outcomes in patients with esophageal varices.

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Core Concepts - Evaluation and Prognosis of Patients with Cirrhosis

5/21/2014
02:15 | Author: Kate Thompson

Cirrhosis classification
Core Concepts - Evaluation and Prognosis of Patients with Cirrhosis

Some experts have proposed a 4-stage cirrhosis classification system that encompasses the spectrum of compensated and decompensated.

Definition and Natural History : Cirrhosis is considered to be compensated in the asymptomatic patient with or without gastroesophageal varices. Compensated cirrhotics are not jaundiced and have not yet developed ascites, variceal bleeding, or hepatic encephalopathy. The transition from compensated to decompensated cirrhosis occurs at a rate of approximay 5 to 7% per year. Cirrhosis can remain compensated for many years. The median survival of compensated cirrhotics has been reported to be 9 to 12 years.

Patients who survive an initial episode of SBP should receive antibiotic prophylaxis.

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