Child-Pugh Score (Liver Cirrhosis)
Classify liver disease severity in cirrhotic patients using the Child-Pugh score (A/B/C) based on bilirubin, albumin, INR, ascites, and hepatic encephalopathy.
Results
What is it?
For educational and clinical reference only. Not a substitute for professional medical judgment. Always verify with current clinical guidelines and consult qualified healthcare providers. The Child-Pugh score quantifies liver disease severity in cirrhosis using five clinical parameters: bilirubin, albumin, INR/PT, ascites, and hepatic encephalopathy. Each is scored 1�3 (total 5�15). Class A (5�6): ~85% 1-year survival. Class B (7�9): ~60% 1-year survival. Class C (10�15): ~35% 1-year survival. Widely used for surgical risk stratification and guiding treatment intensity.
How to use
Select the appropriate tier for each of the five parameters based on current laboratory values and clinical findings. The total score and Child-Pugh class (A/B/C) are calculated automatically.
Example scenario
Bilirubin 3.5 mg/dL (3pts) + Albumin 3.0 g/dL (2pts) + INR 2.0 (2pts) + Mild ascites (2pts) + No encephalopathy (1pt) = Score 10 ? Class C. This patient has high surgical mortality risk and should be referred for transplant evaluation.
Pro tip
The MELD score has largely replaced Child-Pugh for transplant prioritization, but Child-Pugh remains valuable for surgical risk stratification: Class A patients tolerate surgery relatively well; Class B requires careful optimization; Class C patients have very high perioperative mortality and elective surgery should be deferred. Always consider TIPS procedure, nutritional status, and infection control before any surgical intervention.