Child-Pugh Score â Free Online Calculator
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Child-Pugh Score
5 â Class A
Well-compensated disease â 1-year survival ~100%
About This Calculator
The Child-Pugh score (also known as the Child-Turcotte-Pugh score) classifies the severity of chronic liver disease and cirrhosis. It uses five clinical measures to assign a class (A, B, or C), which correlates with prognosis and guides management decisions including liver transplant evaluation and surgical risk assessment.
Formula
Interpretation
| Score | Class | 1-Year Survival |
|---|---|---|
| 5 â 6 | A (Well-compensated) | ~100% |
| 7 â 9 | B (Significant compromise) | ~80% |
| 10 â 15 | C (Decompensated) | ~45% |
Frequently Asked Questions
What does the Child-Pugh score classify?
The Child-Pugh score classifies the severity of chronic liver disease and cirrhosis. It uses five clinical measures: bilirubin, albumin, INR (or prothrombin time), ascites, and hepatic encephalopathy. Each factor scores 1â3 points, with total scores of 5â15.
What are Child-Pugh classes A, B, and C?
Class A (5â6 points): well-compensated cirrhosis, 1-year survival ~100%. Class B (7â9 points): significant functional compromise, 1-year survival ~80%. Class C (10â15 points): decompensated cirrhosis, 1-year survival ~45%.
How does Child-Pugh compare to MELD?
Child-Pugh uses subjective criteria (ascites, encephalopathy grades) and categorical scoring, while MELD uses only objective lab values and a continuous scale. MELD is preferred for transplant allocation due to its objectivity. Child-Pugh remains useful for surgical risk assessment and clinical classification.
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â Medical Disclaimer
This tool is for educational and informational purposes only. It is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional for clinical decisions.