Suggest Treatment For Cirrhosis Of The Liver
Child pugh scoring and prognosis
Detailed Answer:
Hello and Welcome
I appreciate your concern
The Child-Pugh scoring system consists of five clinical features to assess the prognosis and survival rates in patients with chronic liver disease and cirrhosis.
These include
Total bilirubin
Serum albumin
PT INR
Ascites
Hepatic encephalopathy
Based on these values , sets of patients are stratified into classes A, B and C with C having the worst prognosis. Each parameter with worsening function has a point to contribute.
One year survival in Child class C patients is 45 %. With Alcohol abuse history, one automatically would go down the ladder on the transplant list, too.
The above considerations/ facts should be taken into account before taking any decision related to your friend. You may discuss the prognosis with her treating physician and ask about her Child pugh score accordingly. This will give you a better idea.
Wishing you best of health
Thanks
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Dr. M.S. Khalil