Child-Pugh Score (Cirrhosis) — free guideline decision tool
Calculate the Child-Pugh score and class (A/B/C) to grade severity of chronic liver disease.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Bilirubin | 2–3 mg/dL (34–50) |
|---|---|
| Albumin | 2.8–3.5 g/dL |
| INR | 1.7–2.3 |
| Ascites | Mild |
| Encephalopathy | Grade 1–2 |
→Child-PughClass C(10 pts)
- Total：10 points
- Prognosis (approx.)：1-year survival ~45%
| Bilirubin | < 2 mg/dL (< 34 µmol/L) |
|---|---|
| Albumin | > 3.5 g/dL |
| INR | < 1.7 |
| Ascites | None |
| Encephalopathy | None |
→Child-PughClass A(5 pts)
- Total：5 points
- Prognosis (approx.)：1-year survival ~100%
Common questions
What is Child-Pugh Score (Cirrhosis)?
Calculate the Child-Pugh score and class (A/B/C) to grade severity of chronic liver disease.
How is Child-Pugh Score (Cirrhosis) calculated? What is the core formula?
1–3 points each for bilirubin, albumin, INR, ascites and encephalopathy. Class A 5–6, B 7–9, C 10–15. Score bilirubin, albumin, INR, ascites and encephalopathy 1–3 points each; sum for class A 5–6, B 7–9, C 10–15.
When is Child-Pugh Score (Cirrhosis) used?
Prognosis and peri-operative risk assessment in cirrhosis.
How should Child-Pugh Score (Cirrhosis) results be interpreted?
Class A is compensated; B intermediate; C decompensated with highest peri-operative and short-term mortality risk.
What are the key clinical points for Child-Pugh Score (Cirrhosis)?
Class A ~100%, B ~80%, C ~45% one-year survival (approximate). MELD-Na is preferred for transplant allocation. Higher class predicts greater surgical risk.
What are the limits and cautions when using Child-Pugh Score (Cirrhosis)?
Subjective ascites and encephalopathy grading can shift the class by one tier. MELD-Na is preferred for transplant listing; Child-Pugh remains useful for surgical risk framing. Acute illness and lab timing can transiently worsen the score. For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Child-Pugh Score (Cirrhosis) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Child-Pugh Score (Cirrhosis) calculated in practice? Can you show a worked example?
Inputs: Bilirubin 2–3 mg/dL (34–50), Albumin 2.8–3.5 g/dL, INR 1.7–2.3, Ascites Mild, Encephalopathy Grade 1–2 → Result: Child-Pugh Class C (10 pts)（Total: 10 points, Prognosis (approx.): 1-year survival ~45%） Inputs: Bilirubin < 2 mg/dL (< 34 µmol/L), Albumin > 3.5 g/dL, INR < 1.7, Ascites None, Encephalopathy None → Result: Child-Pugh Class A (5 pts)（Total: 5 points, Prognosis (approx.): 1-year survival ~100%）
Run Child-Pugh Score (Cirrhosis) now
Calculate the Child-Pugh score and class (A/B/C) to grade severity of chronic liver disease.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.
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