Child-Pugh-Turcotte Criteria

Can anyone shed any light on this?  


Child-Pugh-Turcotte Criteria  
  1 Point 2 Points 3 Points
Albumin
(g/dl) >3.5 2.8-3.5 <2.8
Bilirubin (mg/dL) 3
Ascites None Minimal Moderate
Encephalo-pathy None Grade 1-2 Grade 3-4
PT (sec
prolonged)
INR <4
<1.7 4-6
6
>2.3

Class A: 5-6 points; Class B: 7-9 points; Class C: 10-15 points

Prognosis of cirrhosis

Patients with early cirrhosis (CPT Class A) from hepatitis C infection who have no complications from cirrhosis have an excellent prognosis. Even without treating the hepatitis C infection, 10 years after diagnosing cirrhosis the majority (>75%) continue to do well with no liver-related complications ([6]). It is believed that treatment of the hepatitis C with interferon will provide an even better prognosis.

Do liver docs use this when determining if you need treatment?

                                                                                                                                                                 Ron

[Bill1954]

It’s difficult to know whether this formatted correctly or not; it is probably easier to read the original, Ron.

The Child-Pugh scale is used to apply a stage to cirrhosis; but it’s hard to determine what’s what from this. If you are Child-class A, that’s considered compensated cirrhosis; and you should be able to undergo treatment based on that alone; Child-class B and C might be a problem.

Have you previously been diagnosed with cirrhosis?

Bill