Comparar métodos

	Escore de Child-Pugh para Cirrose Hepática	Critérios de West Haven para Encefalopatia Hepática
Área	Gastroenterologia	Gastroenterologia
Família	Process / pipeline	Process / pipeline
Ano de origem	1964 (Child-Turcotte), 1973 (Pugh modification)	1966 (original), 1978 (formalized)
Autor original	Child, C. G., Turcotte, J. G., and Pugh, R. N.	West Haven Group (Parsons, Williams, Sherlock, Trey, Davidson)
Tipo	Clinician-rated	Clinician-rated
Fonte seminal	Child, C. G., & Turcotte, J. G. (1964). Surgery and portal hypertension. In C. G. Child (Ed.), The liver and portal hypertension (pp. 50–64). Saunders.	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.
Outros nomes	Child-Turcotte-Pugh Score, CTP Score	Hepatic Encephalopathy Grading, HE Grade, West Haven Grade
Relacionados	4	4
Resumo	The 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).