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


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


Reference: 

1. Bailey and love's short practice of surgery, Vol. 2, 27th edition, P. No. 1157 

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