Child-Turcotte classification
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shankar Kumar, M.B.B.S. [2]]
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
| 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.
Related chapters
References
- Child CG, Turcotte JG. Surgery and portal hypertension. In: The liver and portal hypertension. Edited by CG Child. Philadelphia: Saunders 1964:50-64.