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.

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.