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Child-Turcotte classification
Introduction
Overview
Overview
There are variety of prognostic scales used in patients with cirrhosis based upon clinical and laboratory confirmation. The earliest models are those of Child’s classification. The Child-Turcotte classification has 5 parameters. It was also the first of its kind in classification.
The criteria used in Child-Pugh score are simply modified.
Scoring
Scoring
| Measure | A | B | C | units |
| Bilirubin (total) | <34.2 (<2) | 34.2-51.3 (2-3) | >51.3 (>3) | μmol/l (mg/dL) |
| Serum albumin | >35 | 30-35 | <30 | g/L |
| Nutritional status | Excellent | Good | Poor | no unit |
| Ascites | None | Suppressed with medication | Refractory | no unit |
| Hepatic encephalopathy | None | Mild | Advanced | no unit |
The scoring is older than the Child-Pugh score and its interpretation has not been defined. The Child-Pugh score eliminated a subjective criteria like nutritional status and placed INR. See Child-Pugh score for the interpretation.
References
References
- Child CG, Turcotte JG. Surgery and portal hypertension. In: The liver and portal hypertension. Edited by CG Child. Philadelphia: Saunders 1964:50-64.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shankar Kumar, M.B.B.S. [2]]