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Table 45-7

Risk of Surgery in Patients with Cirrhosis (Modified Child-Pugh Score)*

Presentation and Points123
Albumin (g/dL)>3.52.8–3.5<2.8
Prothrombin time
  • Seconds prolonged
  • International normalized ratio
<4
<1.7
4–6
1.7–2.3
>6
>2.3
Bilirubin (mg/dL)<22–3>3
AscitesAbsentSlight to moderateTense
EncephalopathyNoneGrade I to IIGrade III to IV

*Class A = 5 to 6 points; class B = 7 to 9 points; class C = 10 to 15 points.