Child-Pugh scoring system

These proteins are markers of hepatic synthetic activity and are therefore used to estimate the level of functioning hepatocytes in cirrhosis. They are employed in the Child-Pugh scoring system for liver disease. Albumin levels can be affected by a number of factors, including the patient s nutritional status, acute illnesses, which result in redistribution of albumin, and protein losses from renal and intestinal sources. 

Another alternative HCC staging system is the so-called CLIP score (35, 36). This also combines morphological criteria of the HCC with liver functions (Child-Pugh) and, additionally, with portal vein thrombosis as well as AFP. (s. tab. 37.8) BCLC classification can be recom-... 

Table 19.1 ChiLd-Pugh Point-scoring system...

Liver function scoring systems such as Okuda and Child-Pugh classification, together with assessment of the general performance status (i.e., Karnofsky score, ECOG scale Table 2.7.4), are essential to assess the patient s hepatic and general condition... 

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