Practically speaking, a patient with an INR of 6 and bilirubin of 14 could potentially have the same Child-Pugh score as a patient with an INR of 2.3 and bilirubin of 4.0. This last limitation was significant because patients were not able to be adequately differentiated based on the severity of the disease, and therefore wait time had a considerable impact on prioritization. However, there were three primary limitations to its use: 1) grading ascites and encephalopathy require a subjective assessment, 2) the classification system does not account for renal function, and 3) there are only ten different scores (based on points) available. Evaluation and prognosis of patients with cirrhosis.Historically the Child-Pugh classification was used for liver transplant allocations. You can learn more about how we ensure our content is accurate and current by reading our editorial policy. We link primary sources - including studies, scientific references, and statistics - within each article and also list them in the resources section at the bottom of our articles. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations.
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