{"id":7614,"date":"2020-03-27T13:17:21","date_gmt":"2020-03-27T12:17:21","guid":{"rendered":"https:\/\/www.inanutshell.ch\/?page_id=7614"},"modified":"2020-03-27T13:54:53","modified_gmt":"2020-03-27T12:54:53","slug":"score-de-child-pugh","status":"publish","type":"page","link":"https:\/\/www.inanutshell.ch\/fr\/calculateurs\/score-de-child-pugh\/","title":{"rendered":"Score de Child-Pugh"},"content":{"rendered":"<p>Le score de Child-Pugh permet de classifier le degr\u00e9 de s\u00e9v\u00e9rit\u00e9 d\u2019une h\u00e9patopathie chronique et d\u2019une cirrhose du foie, afin d\u2019en \u00e9tablir le pronostic et le risque de mortalit\u00e9. La classification de la gravit\u00e9 de l\u2019enc\u00e9phalopathie h\u00e9patique se fait au moyen des <a href=\"#child-pugh-west-haven\">crit\u00e8res de West-Haven<\/a>.<\/p>\n    <div class=\"medical-calculator child-pugh\" id=\"medical-calculator-child-pugh\">\r\n        <form>\r\n            <div class=\"form-group row\">\r\n                <label for=\"medical-calculator-child-pugh-bilirubin\" class=\"col-sm-3 col-form-label\">\r\n                                    Bilirubine\r\n                                <\/label>\r\n                <div class=\"col-sm-9\">\r\n                    <div class=\"input-group mb-2\">\r\n                        <input type=\"text\" name=\"bilirubin\" id=\"medical-calculator-child-pugh-bilirubin\" class=\"form-control\" placeholder=\"< 21\" aria-label=\"Bilirubine\" aria-describedby=\"medical-calculator-child-pugh-bilirubin-unit\" tabindex=\"1\" inputmode=\"decimal\">\r\n                        <div class=\"input-group-append\">\r\n                            <button class=\"btn btn-secondary\" type=\"button\" id=\"medical-calculator-child-pugh-bilirubin-unit\">\u03bcmol\/l \u21cc<\/button>\r\n                        <\/div>\r\n                        <div class=\"invalid-feedback\" id=\"medical-calculator-child-pugh-bilirubin-error\"><\/div>\r\n                    <\/div>\r\n                    <div class=\"form-check\">\r\n                        <input class=\"form-check-input\" type=\"checkbox\" name=\"pbc_psc\" id=\"medical-calculator-child-pugh-pbc-psc\" tabindex=\"2\">\r\n                        <label class=\"form-check-label\" for=\"medical-calculator-child-pugh-pbc-psc\">\r\n                                                            H\u00e9patopathie cholestatique (CBP, CSP)\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <label for=\"medical-calculator-child-pugh-albumin\" class=\"col-sm-3 col-form-label\">\r\n                                    Albumine\r\n                                <\/label>\r\n                <div class=\"col-sm-9\">\r\n                    <div class=\"input-group mb-2\">\r\n                        <input type=\"text\" name=\"albumin\" id=\"medical-calculator-child-pugh-albumin\" class=\"form-control\" placeholder=\"40-49\" aria-label=\"Albumine\" aria-describedby=\"medical-calculator-child-pugh-albumin-unit\" tabindex=\"3\" inputmode=\"decimal\">\r\n                        <div class=\"input-group-append\">\r\n                            <button class=\"btn btn-secondary\" type=\"button\" id=\"medical-calculator-child-pugh-albumin-unit\">g\/l \u21cc<\/button>\r\n                        <\/div>\r\n                        <div class=\"invalid-feedback\" id=\"medical-calculator-child-pugh-albumin-error\"><\/div>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <label for=\"medical-calculator-child-pugh-inr\" class=\"col-sm-3 col-form-label\">INR<\/label>\r\n                <div class=\"col-sm-9\">\r\n                    <input type=\"text\" class=\"form-control\" name=\"inr\" id=\"medical-calculator-child-pugh-inr\" placeholder=\"1.0-1.2\" aria-label=\"INR\" aria-describedby=\"\" tabindex=\"4\" inputmode=\"decimal\">\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-3 col-form-label\">\r\n                                            Enc\u00e9phalopathie h\u00e9patique (<a href=\"#child-pugh-west-haven\">introduction<\/a>)\r\n                                    <\/div>\r\n                <div class=\"col-sm-9\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block active\">\r\n                            <input type=\"radio\" name=\"hepatic-encephalopathy\" id=\"medical-calculator-child-pugh-hepatic-encephalopathy-1\" value=\"1\" tabindex=\"5\" autocomplete=\"off\" checked>\r\n                                                        absente\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"hepatic-encephalopathy\" id=\"medical-calculator-child-pugh-hepatic-encephalopathy-2\" value=\"2\" tabindex=\"6\" autocomplete=\"off\">\r\n                                                        Grade I-II\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"hepatic-encephalopathy\" id=\"medical-calculator-child-pugh-hepatic-encephalopathy-3\" value=\"3\" tabindex=\"7\" autocomplete=\"off\">\r\n                                                        Grade III\u2013IV\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"form-group row\">\r\n                <div class=\"col-sm-3 col-form-label\">\r\n                Aszites\r\n                <\/div>\r\n                <div class=\"col-sm-9\">\r\n                    <div class=\"btn-group-toggle\" data-toggle=\"buttons\">\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"aszites\" id=\"medical-calculator-child-pugh-aszites-1\" value=\"1\" tabindex=\"8\" autocomplete=\"off\" checked>\r\n                                                        absente\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block active\">\r\n                            <input type=\"radio\" name=\"aszites\" id=\"medical-calculator-child-pugh-aszites-2\" value=\"2\" tabindex=\"9\" autocomplete=\"off\">\r\n                                                        l\u00e9g\u00e8re\r\n                                                    <\/label>\r\n                        <label class=\"btn btn-outline-secondary btn-block\">\r\n                            <input type=\"radio\" name=\"aszites\" id=\"medical-calculator-child-pugh-aszites-3\" value=\"3\" tabindex=\"10\" autocomplete=\"off\">\r\n                                                        mod\u00e9r\u00e9e\r\n                                                    <\/label>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n        <\/form>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <div id=\"medical-calculator-child-pugh-result-text-a\" class=\"result-text\">\r\n                    <p><h5>Child-Pugh A (<span id=\"medical-calculator-child-pugh-result-value-a\"><\/span> points)<\/h5><\/p>\r\n                                        <p>Taux de survie \u00e0 1 an: 100 %<\/p>\r\n                    <p>Mortalit\u00e9 p\u00e9riop\u00e9ratoire en cas de chirurgie abdominale: 10 %<\/p>\r\n                                    <\/div>\r\n                <div id=\"medical-calculator-child-pugh-result-text-b\" class=\"result-text\">\r\n                    <p><h5>Child-Pugh B (<span id=\"medical-calculator-child-pugh-result-value-b\"><\/span> points)<\/h5><\/p>\r\n                                        <p>Taux de survie \u00e0 1 an: 79.7 %<\/p>\r\n                    <p>Mortalit\u00e9 p\u00e9riop\u00e9ratoire en cas de chirurgie abdominale: 30 %<\/p>\r\n                                    <\/div>\r\n                <div id=\"medical-calculator-child-pugh-result-text-c\" class=\"result-text\">\r\n                    <p><h5>Child-Pugh C (<span id=\"medical-calculator-child-pugh-result-value-c\"><\/span> points)<\/h5><\/p>\r\n                                        <p>Taux de survie \u00e0 1 an: 44.9 %<\/p>\r\n                    <p>Mortalit\u00e9 p\u00e9riop\u00e9ratoire en cas de chirurgie abdominale: 82 %<\/p>\r\n                                    <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12\">\r\n                <h5>\r\n                                            Interpr\u00e9tation\r\n                                    <\/h5>\r\n                <div class=\"table-responsive-sm\">\r\n                    <table class=\"table table-bordered\">\r\n                        <thead>\r\n                            <tr>\r\n                                <th scope=\"col\">\r\n                                                                    Score de Child-Pugh\r\n                                                                <\/th>\r\n                                <th scope=\"col\" class=\"table-col-a\">A<\/th>\r\n                                <th scope=\"col\" class=\"table-col-b\">B<\/th>\r\n                                <th scope=\"col\" class=\"table-col-c\">C<\/th>\r\n                            <\/tr>\r\n                        <\/thead>\r\n                        <tbody>\r\n                            <tr>\r\n                                <td>Taux de survie \u00e0 1 an <a href=\"#child-pugh-cite-note-4\">[4]<\/a><\/td>\r\n                                <td class=\"table-col-a\">100 %<\/td>\r\n                                <td class=\"table-col-b\">79.7 %<\/td>\r\n                                <td class=\"table-col-c\">44.9 %<\/td>\r\n                            <\/tr>\r\n                            <tr>\r\n                                <td>Mortalit\u00e9 p\u00e9riop\u00e9ratoire en cas de chirurgie abdominale <a href=\"#child-pugh-cite-note-5\">[5]<\/a><\/td>\r\n                                <td class=\"table-col-a\">10 %<\/td>\r\n                                <td class=\"table-col-b\">30 %<\/td>\r\n                                <td class=\"table-col-c\">82 %<\/td>\r\n                            <\/tr>\r\n                        <\/tbody>\r\n                    <\/table>\r\n                <\/div>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                    Annexe\r\n                                <\/h5>\r\n                <table class=\"table table-bordered\">\r\n                    <thead>\r\n                        <tr>\r\n                            <th scope=\"col\" colspan=\"2\"><a name=\"child-pugh-west-haven\"><strong>Crit\u00e8res de West Haven pour le diagnostic de l\u2019enc\u00e9phalopathie h\u00e9patique<\/strong><\/a> <a href=\"#child-pugh-cite-note-1\">[1]<\/a><\/th>\r\n                        <\/tr>\r\n                    <\/thead>\r\n                    <tbody>\r\n                        <tr>\r\n                            <td nowrap>\r\n                                                        Grade I\r\n                                                        <\/td>\r\n                            <td>\r\n                                                        alt\u00e9ration minime de la conscience, euphorie ou anxi\u00e9t\u00e9, d\u00e9ficit attentionnel, erreurs dans le calcul d\u2019addition ou soustraction, modification du rythme nycth\u00e9m\u00e9ral\r\n                                                        <\/td>\r\n                        <\/tr>\r\n                        <tr>\r\n                            <td nowrap>\r\n                                                        Grade II\r\n                                                        <\/td>\r\n                            <td>\r\n                                                        L\u00e9thargie ou apathie, d\u00e9sorientation temporelle, nette modification de la personnalit\u00e9, comportement inappropri\u00e9, dyspraxie, ast\u00e9rixis\r\n                                                        <\/td>\r\n                        <\/tr>\r\n                        <tr>\r\n                            <td nowrap>\r\n                                                        Grade III\r\n                                                        <\/td>\r\n                            <td>\r\n                                                        Somnolence ou stupeur, r\u00e9ponse \u00e0 la stimulation, d\u00e9sorientation totale, comportement bizarre\r\n                                                        <\/td>\r\n                        <\/tr>\r\n                        <tr>\r\n                            <td nowrap>\r\n                                                        Grade IV\r\n                                                        <\/td>\r\n                            <td>\r\n                                                        Coma\r\n                                                        <\/td>\r\n                        <\/tr>\r\n                    <\/tbody>\r\n                <\/table>\r\n            <\/div>\r\n        <\/div>\r\n\r\n        <div class=\"row\">\r\n            <div class=\"col-sm-12 mt-3\">\r\n                <h5>\r\n                                R\u00e9f\u00e9rences\r\n                                <\/h5>\r\n                <ol class=\"references\">\r\n                    <li id=\"child-pugh-cite-note-1\">Vilstrup H, Amodio P, Bajaj J et al. Hepatic encephalopathy in chronic liver disease: 2014 Practice\r\nGuideline by the American Association for the Study of Liver Diseases and the European Association\r\nfor the Study of the Liver. Hepatology 2014; 60: 715-735<\/li>\r\n                    <li id=\"child-pugh-cite-note-2\">Child CG, Turcotte JG. Surgery and portal hypertension. Major Probl Clin Surg 1964; 1: 1-85<\/li>\r\n                    <li id=\"child-pugh-cite-note-3\">Pugh RN, Murray-Lyon IM, Dawson JL et al. Transection of the oesophagus for bleeding oesophageal\r\nvarices. Br J Surg 1973; 60: 646-649<\/li>\r\n                    <li id=\"child-pugh-cite-note-4\">Infante-Rivard C, Esnaola S, Villeneuve JP. Clinical and statistical validity of conventional prognostic\r\nfactors in predicting short-term survival among cirrhotics. Hepatology 1987; 7: 660-664<\/li>\r\n                    <li id=\"child-pugh-cite-note-5\">Mansour A, Watson W, Shayani V et al. Abdominal operations in patients with cirrhosis: still a major\r\nsurgical challenge. Surgery 1997; 122: 730-735; discussion 735-736<\/li>\r\n                <\/ol>\r\n            <\/div>\r\n        <\/div>\r\n    <\/div>\r\n    <script type=\"text\/javascript\">\r\n                var medical_calculator_child_pugh_messages = {\r\n            'bilirubin_micromoles_per_l_out_of_range' : 'Valeur improbable (Bilirubine): Seules les valeurs comprises entre 0.1 et 800 \u03bcmol\/l sont autoris\u00e9es.',\r\n            'bilirubin_mg_per_dl_out_of_range' : 'Valeur improbable (Bilirubine): Seules les valeurs comprises entre 0,00584 et 46,78362 mg\/dl sont autoris\u00e9es.',\r\n            'albumin_grams_per_l_out_of_range' : 'Valeur improbable (Albumine): Seules les valeurs comprises entre 0.1 et 70 g\/l sont autoris\u00e9es.',\r\n            'albumin_grams_per_dl_out_of_range' : 'Valeur improbable (Albumine): Seules les valeurs comprises entre 0.01 et 7 g\/dl sont autoris\u00e9es.',\r\n            'inr_out_of_range' : 'Valeur improbable (INR): Seules les valeurs comprises entre 0.1 et 10 sont autoris\u00e9es.',\r\n        };\r\n            <\/script>\r\n\n","protected":false},"excerpt":{"rendered":"<p>Le score de Child-Pugh permet de classifier le degr\u00e9 de s\u00e9v\u00e9rit\u00e9 d\u2019une h\u00e9patopathie chronique et d\u2019une cirrhose du foie, afin d\u2019en \u00e9tablir le pronostic et le risque de mortalit\u00e9. La classification de la gravit\u00e9 de l\u2019enc\u00e9phalopathie h\u00e9patique se fait au moyen des crit\u00e8res de West-Haven.<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":7598,"menu_order":787,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-7614","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7614","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/comments?post=7614"}],"version-history":[{"count":2,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7614\/revisions"}],"predecessor-version":[{"id":7885,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7614\/revisions\/7885"}],"up":[{"embeddable":true,"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/pages\/7598"}],"wp:attachment":[{"href":"https:\/\/www.inanutshell.ch\/fr\/wp-json\/wp\/v2\/media?parent=7614"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}