Bedside steps

1. 1
   Child-Pugh

   Grade severity of chronic liver disease (Class A/B/C).

   Calculate here · Child-Pugh ▾Full details →
2. 2
   MELD-Na

   Sodium-adjusted MELD (UNOS 2016), a reference for end-stage liver disease severity and allocation.

   Calculate here · MELD-Na ▾Full details →
3. 3
   Maddrey DF

   Severity of alcoholic hepatitis and steroid decision threshold.

   Calculate here · Maddrey DF ▾Full details →
4. 4
   LilleAlternate branch

   Predict response to corticosteroids at day 7 of treatment.

   Calculate here · Lille ▾Full details →
5. 5
   FIB-4Alternate branch

   Non-invasive estimate of advanced hepatic fibrosis.

   Calculate here · FIB-4 ▾Full details →

[Cirrhosis / liver failure · bedside workflow]
Child-Pugh：not calculated
MELD-Na：not calculated
Maddrey DF：not calculated
Lille：not calculated
FIB-4：not calculated
Guideline：Child-Pugh / MELD; hepatology guidance (see tool pages for exact version notes)
Reviewed：2026-09-05
For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.

For licensed clinicians only. Local calculation; does not replace clinical judgment or individualized shared decision-making. Integrate guideline version, patient preference, and bleed–thrombosis trade-offs.