Table 2.
Child-Pugh classification (slightly modified)
| Clinical and laboratory data | Points for increasing abnormality1 | ||
| 1 | 2 | 3 | |
| HE (grade2) | None | (SHE)0-1-2 | 3-4 |
| Ascites | None at US | Mild or controlled by diuretics | Present despite diuretics |
| PT (% of activity)3 | > 70 | 70-40 | < 40 |
| Albumin (g/dL) | > 3.5 | 2.8-3.5 | < 2.8 |
| Bilirubin (mg/dL) | < 2 | 2-3 | > 3 |
1
Scoring system: 5-6 points, grade A; 7-9 points, grade B; 10-15 points, grade C.
2
HE: hepatic encephalopathy; Grade 0: sub-clinical hepatic encephalopathy, SHE, unravelled by retain tests A or B; Grade 1: anxiety, irritability, depression, impaired concentration, sleep disturbances; Grade 2: disorientation, poor short-term memory, disinhibited behaviour, drowsiness; Grade 3: somnolence, bizarre behaviour, confusion, amnesia, paranoia; Grade 4: Coma.
3
PT, prothrombin time, also expressed in seconds prolonged < 4; 4-6; > 6, or as INR < 1.7; 1.7-2.3; > 2.3. US: ultra sound.