Child-Pugh Score Calculator
Five components scored 1–3 → class A/B/C. Click any i for detail.
Child-Pugh components
Bilirubin
i
Bili
1 lower · 2 mid · 3 higher (use your lab thresholds). |
|
|---|---|
Albumin
i
Alb
1 higher albumin · 3 lower albumin. |
|
INR
i
INR
1 lower · 3 higher INR. |
|
Ascites
i
Ascites
1 none · 2 mild · 3 moderate-severe. |
|
Encephalopathy
i
Enc
1 none · 2 grade 1–2 · 3 grade 3–4. |
How to use this calculator
- Score each lab/clinical component 1–3.
- Read total points and class A/B/C.
- Use local lab cutoffs for bili/albumin/INR.
- Do not replace hepatology staging tools.
Results explained
Child-Pugh sums five components (bilirubin, albumin, INR, ascites, encephalopathy). Class A is 5–6, B 7–9, C 10–15. Thresholds for labs follow clinical tables — enter the point score, not raw labs.
Quick reference: Child-Pugh
Total 5–15 → A (5–6), B (7–9), C (10–15).
| Item | Detail |
|---|---|
| Class A | 5–6 points |
| Class B | 7–9 points |
| Class C | 10–15 points |
| MELD | Different modern score |
Educational scoring aid — not a transplant listing tool.
How the estimate is built
total = Σ five scores (1–3); class from total bands.
Example scenario
All 1s → total 5 → Class A.
FAQ
Raw bilirubin value?
Convert to the 1–3 point using your reference table first.
Child-Pugh vs MELD?
Different instruments; see the MELD calculator.
Modifications?
Some versions tweak encephalopathy/ascites definitions.
Surgical risk?
Historically used; modern practice may prefer other scores.