Childturcottepugh ctp calculator clinical calculators. Patients of liver disease may know the childturcotte pugh grade, which is also known as child pugh score. Either the prothrombin time or inr should be used to calculate the childpugh score, not both. Childturcottepugh ctp calculator viral hepatitis and liver. Puqe index assessment puqe index score score score 712 moderate no dehydration promethazine or cyclizine or prochlorperazine or metoclopramaide. Pst 0, child pugh a very early stage 0 single hcc 2, child. The child pugh score can be useful in the prognosis of patients with cirrhosis, but more recent scores like the meld score and meldna have become more used given their better prognostic value. The scoring method also offers one year and twoyear survival rates based on patient hepatic encephalopathy status, ascites assessment, inr, bilirubin and serum albumin values. Determine severity and estimate mortality in cirrhosis. Childturcotte pugh ctp classification of the severity of cirrhosis. For patients with unexpectedly high or low scores, consider comparing the childpugh score with another score like the meld score. For patients with unexpectedly high or low scores, consider comparing the child pugh score with another score like the. Child pugh score determine severity and estimate mortality in cirrhosis prognosis after tipss using meld score meld score age above 12 years scoring system used to rank prioritize candidates for liver transplantation, including meldna used in the optn match system be3a score when to treat hcv in decompensated cirrhosis. Childturcottepugh ctp classification of the severity of cirrhosis points 1 2 3 encephalopathy none grade 12 or precipitantinduced grade 34 or chronic ascites none mildmoderate diureticresponsive severe diureticrefractory bilirubin mgdl 3 albumin gdl 3.
Although originally developed for the risk stratification of patients undergoing esophageal surgery, the childpugh score has also been validated for patients undergoing other abdominal surgeries. Pugh et al also assigned 1, 2 or 3 points to each of the five variables enabling the calculation of a score, the childturcottepugh ctp score, ranging from 515. Ctp score is obtained by adding the score for each parameter ctp class. Childturcottepugh ctp calculator for the classification of the severity of cirrhosis, from the va national hepatitis c website. Childturcotte pugh ctp calculator share use the childturcotte pugh classification for severity of cirrhosis calculator to estimate the cirrhosis severity. Select the applicable clinical and lab criterias, then check the classification at the bottom.
It assesses the severity of a persons liver disease. In medicine, specifically gastroenterology, the childpugh score is used to assess the. Transection of the oesophagus for bleeding oesophageal varices. The original meld score calculation used the patients bilirubin level. In addition, it may not accurately distinguish between moderate and severe disease and may have been responsible for the severe toxicity and occasional fatalities recently reported with the antineoplastic agent erlotinib tarceva.
Child pugh score child turcotte pugh score calculator. Pugh rn, murraylyon im, dawson jl, pietroni mc, williams r. For example, depending on the classification of your disease, you may receive medications or undergo surgery. The sum of the scoring points from the five clinical parameters ascites none one point, moderate two points, severe three points, serum bilirubin 3 mgdl. Shareuse the childturcottepugh classification for severity of cirrhosis calculator to estimate the cirrhosis severity. The child pugh score is a severity scoring system for patients suffering from liver disease, especially cirrhosis. The results show how carefully the treatment should be taken. For patients with unexpectedly high or low scores, consider comparing the child pugh score with another score like the meld score.