Assessment of Liver Function

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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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