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Cirrhosis CommunityCirrhosis ArticlesWhat is the CTP Score?
What is the CTP Score? Print E-mail
Written by mpmom   
14 October 2010

How severe is my Cirrhosis ?

 

The   Child-Turcotte-Pugh score helps determine how sever Cirrhosis is and if you are ready to be evaluated for transplant

You will need to know some basic labs

Bilirubin

Albumin

INR

Do you have Hepatic Encephalopathy (Mental confusion , memory   problems, agitation, excessive sleeping ) If so how is it being treated

Do you have Ascites (free fluid in the abdominal cavity)

If so how are they treating it

Now figure your score

 

 

1 point

2 points

3 points

Bilirubin

< 2

2-3

    > 3

Albumin

>3.5

2.8-3.5

    <2.8

INR

<1.7

1.7 1-2.20

> 2.20

Encephalopathy

None

Grade I-II

Treated  with lactulose

1.Sleep disturbances; impaired concentration; depression, anxiety, or irritability

2. Drowsiness, disorientation, poor short-term memory, uninhibited behavior

Grade III-IV

Treatment ineffective

3. Somnolence; confusion; amnesia; anger, paranoia, or other bizarre behavior

4. Coma

Ascites

None

                  Mild

Treated with diuretics and low    

               sodium diet

Severe

Moderate even with treatment

 

Total points

5-6 This is called compensated Cirrhosis. You are not very sick right now . Most Transplant centers would not evaluate you for transplant  yet. Most Cirrhosis patients will stay at this level for many years. Many will live out a normal life with out ever leaving this group

7-9 This is the time when most Drs. will refer you to a transplant center. You are starting to see complications and your labs are a little worse  but you are still a long way from needing a transplant.  After complications  are treated most patients return to a compensated level and will bounce between the 2 levels sometimes for years.

10-15 You are very sick and having difficulty controlling complications. You are actively waiting for transplant and may be in the hospital

 

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