Predict mortality in liver cirrhosis patients.
It uses five parameters-
1. Albumin
2. Ascites
3. Bilirubin
4. Encephalopathy
5. INR or Prothrombin time
Each parameter is scored from 1 to 3 points. A higher score means the liver is more damaged.
Parameters | 1 | 2 | 3 |
1. Albumin | >3.5 g/dl | 2.8 to 3.5 | <2.8 g/dl |
2. Ascites | Absent | Slightly | Moderate |
3. Bilirubin | <2 mg/dl | 2-3 | >3 mg/dl |
4. Encephalopathy | No | Grade 1-2 | Grade 3-4 |
5. INR or Prothrombin time | <1.7 | 1.7 to 2.3 | >2.3 |
The severity of cirrhosis:
1. Child-Pugh A: 5 to 6 points
2. Child-Pugh B: 7 to 9 points
3. Child-Pugh C: 10 to 15 points (indicates more severe liver disease)
NOTE: Maximum child-pugh score is 15.
PELD score (for <12 year of age) | MELD score (for ≥12 year of age) | Child-Pugh score |
For liver cirrhosis severity | For liver cirrhosis severity | For liver cirrhosis mortality |
1. Albumin | 1. Albumim | |
2. Age | ||
2. Ascites | ||
1. Na (Sodium) | ||
3. Bilirubin | 2. Bilirubin | 3. Bilirubin |
3. Creatinine |
| |
4. Dialysis | ||
4. History of growth failure |
| |
| 4. Encephalopathy | |
5. INR or PT | 5. INR or PT | 5. INR or PT |
NOTE: Bilirubin and INR (or PT) are common components in all three scoring systems.
Reference:
1. Bailey and love's short practice of surgery, Vol. 2, 27th edition, P. No. 1157