Comparison of childhood hepatic malignancies in a hepatitis B hyper-endemic area

Table 1 Points scored for clinical and laboratory parameters in Pugh modification of Child’s classification of liver disease severity

Clinical and laboratory parameters	Points scored
	1	2	3
Hepatic encephalopathy1	None	Grade 1 or 2	Grade 3 or 4
Ascites	Absent	Slight	Moderate
Bilirubin (mg/dL)	< 2	2-3	> 3
Albumin (g/dL)	> 3.5	2.8-3.5	< 2.8
Prothrombin time prolongation (s)	1-4	4-10	> 10

¹Grade 0: normal consciousness, personality, neurological examination; Grade 1: restless, sleep disturbed, irritable/agitated, tremor, impaired hand writing; Grade 2: lethargic, time-disoriented, inappropriate, asterixis, ataxia; Grade 3: somnolent, stuporous, place-disoriented, hyperactive reflexes, rigidity; Grade 4: unrousable coma, no personality/behavior, decerebrate.