🫀 Child-Pugh Score (Cirrhosis)
UsePrognosis and peri-operative risk assessment in cirrhosis.
StrataClass A is compensated; B intermediate; C decompensated with highest peri-operative and short-term mortality …
LimitsSubjective ascites and encephalopathy grading can shift the class by … · MELD-Na is preferred for transplant listing; Child-Pugh remains usefu… · Acute illness and lab timing can transiently worsen the score.
SourcePugh RNH, et al. Br J Surg 1973
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Class A ~100%, B ~80%, C ~45% one-year survival (approximate).
When to use
Prognosis and peri-operative risk assessment in cirrhosis.
How it works
1–3 points each for bilirubin, albumin, INR, ascites and encephalopathy. Class A 5–6, B 7–9, C 10–15.
Key points
- Class A ~100%, B ~80%, C ~45% one-year survival (approximate).
- MELD-Na is preferred for transplant allocation.
- Higher class predicts greater surgical risk.
References
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%
Verification & sources · governance
FAQ
Frequently asked questions
- 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%）