The CHILD score (Child-Turcotte-Pugh) assigns points for which five parameters to assess hepatic reserve?
- A Bilirubin, ALT, creatinine, sodium, PT
- B Bilirubin, albumin, PT/INR, ascites, hepatic encephalopathy ✓
- C Albumin, AST, creatinine, ascites, encephalopathy
- D Bilirubin, alkaline phosphatase, albumin, ascites, PT
Correct answer: B. Bilirubin, albumin, PT/INR, ascites, hepatic encephalopathy
Explanation
The Child-Turcotte-Pugh (CTP) score uses five parameters: serum bilirubin, serum albumin, prothrombin time (or INR), degree of ascites, and grade of hepatic encephalopathy — each scored 1–3 points (total 5–15). Child A (5–6) = well-compensated, low operative risk; Child B (7–9) = significant compromise; Child C (10–15) = decompensated cirrhosis, highest operative mortality. It is distinct from MELD score which uses bilirubin, creatinine, and INR.
Reference: Bailey & Love's Short Practice of Surgery, 27th ed.
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