Child-Pugh Score

Child – Pugh Classification

Total Bilirubin :	Less than 2Between 2 and 3Greater than 3
Serum Albumin :	Greater than 3.5Between 2.8 and 3.5Less than 2.8
INR :	Less than 1.7Between 1.7 and 2.2Greater than 2.2
Ascites :	NoneMildSevere
Encephalopathy :	NoneGrade I or IIGrade III or IV

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

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.