Child-Pugh Score Calculator
Assess the severity of cirrhosis and estimate patient survival and surgical risk.
Clinical Parameters
Enter patient values
< 2 (+1)2-3 (+2)> 3 (+3)
> 3.5 (+1)2.8-3.5 (+2)< 2.8 (+3)
< 1.7 (+1)1.7-2.3 (+2)> 2.3 (+3)
Result
Child-Pugh Score & Class
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Enter values
Severity Classification
Classification System
5-6 PointsClass A (Well compensated)
7-9 PointsClass B (Significant compromise)
10-15 PointsClass C (Decompensated)
Clinical Notes
- Class A: 100% 1-year survival, 85% 2-year survival.
- Class B: 80% 1-year survival, 60% 2-year survival.
- Class C: 45% 1-year survival, 35% 2-year survival.
- Ascites grading is based on responsiveness to diuretics.
- Encephalopathy grading ranges from mild confusion (Grade 1-2) to coma (Grade 3-4).
- Source: Pugh RN et al. (1973)
About the Child-Pugh Score
The Child-Pugh score (also known as the Child-Turcotte-Pugh score) is a system for assessing the prognosis of chronic liver disease, primarily cirrhosis. It provides a forecast of increasing liver disease severity and expected survival rate.
Scoring System
The score employs five clinical measures of liver disease:
| Parameter | 1 Point | 2 Points | 3 Points |
|---|---|---|---|
| Total Bilirubin (mg/dL) | < 2 | 2 - 3 | > 3 |
| Serum Albumin (g/dL) | > 3.5 | 2.8 - 3.5 | < 2.8 |
| INR | < 1.7 | 1.7 - 2.3 | > 2.3 |
| Ascites | None | Mild | Mod/Severe |
| Encephalopathy | None | Grade 1-2 | Grade 3-4 |
Clinical Significance
Patients are classified into Child-Pugh classes A, B, and C:
- Class A (5-6 points): Least severe liver disease, 100% one-year survival.
- Class B (7-9 points): Moderately severe liver disease, 80% one-year survival.
- Class C (10-15 points): Most severe liver disease, 45% one-year survival.
Disclaimer: This tool is intended for educational and reference purposes only. It should not be used as a substitute for professional medical judgment or advice.