Child-Turcotte-Pugh and Model for End-Stage Liver Disease (MELD) scoring systems for staging cirrhosis.

Child-Turcotte-Pugh and Model for End-Stage Liver Disease (MELD) scoring systems for staging cirrhosis.

Child-Turcotte-Pugh scoring system Numerical Score Parameter 1 2 3 Ascites None Slight Moderate to severe Encephalopathy None Slight to moderate Moderate to severe Bilirubin (mg/dL) < 2.0 2–3 > 3.0 Albumin (g/dL) > 3.5 2.8–3.5 < 2.8 Prothrombin time (seconds increased) 1–3 4–6 > 6.0 Total numerical score and corresponding Child-Turcotte-Pugh class  Score  Class  5–6 A 7–9 B 10–15 C MELD scoring system  MELD = 11.2 loge (INR) + 3.78 loge (bilirubin [mg/dL]) + 9.57 loge (creatinine [mg/dL]) + 6.43 (Range 6–40).

INR, international normalized ratio. Prognosis Factors determining survival include ability to stop alcohol intake and the Child-Turcotte-Pugh class The Model for End-Stage Liver Disease (MELD) is used to determine priorities for liver transplantation