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간경변증에 대한 Child-Pugh 점수×간성 뇌병증의 웨스트 헤이븐 기준×
분야소화기학소화기학
계열Process / pipelineProcess / pipeline
기원 연도1964 (Child-Turcotte), 1973 (Pugh modification)1966 (original), 1978 (formalized)
창시자Child, C. G., Turcotte, J. G., and Pugh, R. N.West Haven Group (Parsons, Williams, Sherlock, Trey, Davidson)
유형Clinician-ratedClinician-rated
원전Child, C. G., & Turcotte, J. G. (1964). Surgery and portal hypertension. In C. G. Child (Ed.), The liver and portal hypertension (pp. 50–64). Saunders. link ↗Parsons, P. L., Williams, R., & Sherlock, S. (1978). The role of plasma amino acids in hepatic encephalopathy and the effect of branched-chain amino acid infusion. Gut, 19(10), 969–978. link ↗
별칭Child-Turcotte-Pugh Score, CTP ScoreHepatic Encephalopathy Grading, HE Grade, West Haven Grade
관련44
요약The Child-Pugh Score (originally Child-Turcotte, modified by Pugh in 1973) is a clinical scoring system that stratifies the severity of liver cirrhosis and predicts surgical mortality and prognosis. The score integrates five readily available clinical and laboratory parameters: bilirubin, albumin, prothrombin time (INR), ascites, and hepatic encephalopathy. With a total range of 5–15 points, the Child-Pugh Score is stratified into Class A (mild, 5–6 points), Class B (moderate, 7–9 points), and Class C (severe, 10–15 points), each with distinct mortality predictions.The West Haven Criteria are the standard for grading hepatic encephalopathy (HE) severity, ranging from subclinical (Grade 0) to deep coma (Grade 4). Developed by Trey and Davidson in the 1960s and refined by the West Haven group, these criteria integrate mental status changes (confusion, asterixis, disorientation) and consciousness level to stage HE. The West Haven grade is a strong predictor of short-term prognosis in cirrhosis and guides urgency of intervention (lactulose, rifaxomicin, mannitol, intubation).
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ScholarGate방법 비교: Child-Pugh Score · West Haven Criteria for Hepatic Encephalopathy. 2026-06-19에 다음에서 검색함: https://scholargate.app/ko/compare