Child – Pugh Classification
Formula :
| 1 point | 2 points | 3 points | |
|---|---|---|---|
| Total bilirubin | < 2 | 2-3 | > 3 |
| Serum albumin | > 3.5 | 2.8-3.5 | < 2.8 |
| INR | > 1.7 | 1.71-2.20 | < 2.20 |
| Ascites | None | Mild | Severe |
| Hepatic encephalopathy | None | Grade I-II | Grade III-IV |
The Child-Pugh Score is a scoring system used to determine the prognosis with cirrhosis and need for liver transplantation.
Explanation of Result :
Class A: 5-6
Class B: 7-9
Class C: 10-15
The prognosis worsens going from A->C and is evidenced by worsening decompensation. However, Child’s classification/score has been largely replaced for hepatic transplantation by MELD scoring.
* Please verify all calculations prior to clinical use.