ABCDE of Cirrhosis – Modified Child – Pugh Score

HOSPITAL MEDICINE, MNEMONICS

ABCDE of Cirrhosis. The Child-Pugh score estimates cirrhosis severity. It is a prognosis tool.

  • Albumin
  • Bilirubin
  • Coags – PT or INR
  • Deluge  (Ascites) – Drain the Ascites
  • Encephalopathy

MDcalc.com calculator

Modified Child-Turcotte-Pugh Scoring System
Points Scored
 1  2  3
Albumin >3.5  2.8-3.5  <2.8
Bilirubin <2  2-3 >3
Coags: PT (sec > control) or INR PT < 4
INR <1.7		  4-6
1.8-2.3		  >6
>2.3
Deluge / Dilution  (Ascites) None  Easily Controlled Poorly controlled
Encephalopathy None  Grade I or II Grade III or IV
 Classification
 A B C
 Total points 5-6 7-9 10-15
 1  year survival  100%  80%  45%

 

print