Table 7.
Pugh Scoring System
| Variable | Severity Points |
||
|---|---|---|---|
| 1 | 2 | 3 | |
| Adapted from Pugh R, Murray-Lyon I. Transection of the esophagus in bleeding oesophageal varices. Br J Surg 1973;60:646–652. | |||
| Pugh Class A: 5–6 points, Class B: 7–9 points, Class C: 10–15 points. | |||
| Encephalopathy | None | Grades 1 and 2 | Grades 3 and 4 |
| Ascites | Absent | Slight | Moderate |
| Bilirubin | 1–2 mg/dL | 2–3 mg/dL | > 3 mg/dL |
| Albumin | > 3.5 g/dL | 2.8–3.5 g/dL | < 2.8 g/dL |
| Prothrombin time | 1–4 seconds > control | 4–6 seconds > control | > 6 seconds > control |