Skip to main content

Table 1 Child-Pugh classification slightly modified.

From: What are the implications of the spontaneous spleno-renal shunts in liver cirrhosis?

Clinic 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. 1Scoring system: 5-6 points, grade A; 7-9 points, grade B; 10-15 points, grade C. 2HE: 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 behavior, drowsiness; Grade 3: somnolence, bizarre behavior, confusion, amnesia, paranoia; Grade 4: Coma. 3PT, Prothrombin Time, also expressed in seconds prolonged < 4; 4-6; > 6, or as INR < 1.7; 1.7-2.3; > 2.3. US: UltraSound.