Child-Pugh score

Predict mortality in liver cirrhosis patients.

 

It uses five parameters-

1. Albumin

2. Ascites

3. Bilirubin 

4. Encephalopathy 

5. INR or Prothrombin time 

 

Each parameter is scored from 1 to 3 points. A higher score means the liver is more damaged.

 

Parameters 

1

2

3

1. Albumin

>3.5 g/dl

2.8 to 3.5 

<2.8 g/dl

2. Ascites

Absent 

Slightly 

Moderate 

3. Bilirubin 

<2 mg/dl

2-3

>3 mg/dl

4. Encephalopathy 

No 

Grade 1-2

Grade 3-4

5. INR or
Prothrombin time 

<1.7

1.7 to 2.3

>2.3

 

The severity of cirrhosis: 

1. Child-Pugh A: 5 to 6 points

2. Child-Pugh B: 7 to 9 points

3. Child-Pugh C: 10 to 15 points (indicates more severe liver disease)

 

NOTE: Maximum child-pugh score is 15.

 

 

PELD score
(for <12 year of age)

MELD score
(for ≥12 year of age)

Child-Pugh score

For liver cirrhosis
severity 

For liver cirrhosis
severity 

For liver cirrhosis
mortality 

1. Albumin

 

1. Albumim

2. Age

 

 

 

 

2. Ascites 

 

1. Na (Sodium)

 

3. Bilirubin

2. Bilirubin

3. Bilirubin

 

3. Creatinine

 

 

4. Dialysis

 

4. History of
growth failure

 

 

 

 

4. Encephalopathy

5. INR or PT 

5. INR or PT 

5. INR or PT 

PELD (Pediatric End-Stage Liver Disease)

MELD (Model for End-Stage Liver Disease)
 

Note: Bilirubin and INR (or PT) are common components in all three scoring systems.

 

MELD score- (Mnemonic: ABCDI)

A- nA (Na / Sodium

B- Bilirubin 

C- Creatinine 
D- Dialysis 

I- INR / PT

 

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