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	Child-Pughs poäng för levercirros	West Haven-kriterierna för hepatisk encefalopati
Ämnesområde	Gastroenterologi	Gastroenterologi
Familj	Process / pipeline	Process / pipeline
Ursprungsår	1964 (Child-Turcotte), 1973 (Pugh modification)	1966 (original), 1978 (formalized)
Upphovsperson	Child, C. G., Turcotte, J. G., and Pugh, R. N.	West Haven Group (Parsons, Williams, Sherlock, Trey, Davidson)
Typ	Clinician-rated	Clinician-rated
Ursprungskälla	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.
Alias	Child-Turcotte-Pugh Score, CTP Score	Hepatic Encephalopathy Grading, HE Grade, West Haven Grade
Närliggande	4	4
Sammanfattning	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).