Child-Pough scale

In medicine, specifically gastroenterology, the Child–Pugh score (or the Child–Turcotte–Pugh score or Child Criteria) is used to assess the prognosis of chronic liver disease, mainly cirrhosis. Although it was originally used to predict mortality during surgery, it is now used to determine the prognosis, as well as the required strength of treatment and the necessity of liver transplantation.

In primary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC), some use a modified Child Pugh score where the bilirubin references are changed to reflect the fact that these diseases feature high conjugated bilirubin levels. The upper limit for 1 point is 68 μmol/L (4 mg/dL) and the upper limit for 2 points is 170 μmol/L (10 mg/dL).^[2]

Mnemonic: "Pour INH Another Beer At Eleven" for PT, INR, Ascites, Bilirubin, Albumin, Encephalopathy.

"PIA- BEA": for PT, INR, Ascites, Bilirubin, Encephalopathy, Albumin.

"ABCDE" for Albumin, Bilirubin, Coagulation (INR), Drum abdomen (ascites), Encephalopathy.