What is the Child-Pugh Score Calculator | Cirrhosis Severity?

The Child-Pugh Score Calculator | Cirrhosis Severity is a free online tool that helps you perform health calculations quickly and accurately. Simply enter your values and get instant results.

How do I use the Child-Pugh Score Calculator | Cirrhosis Severity?

Enter the required values in the input fields, select your preferred units if applicable, and the calculator will automatically compute the results. The interface is designed to be intuitive and easy to use.

Is the Child-Pugh Score Calculator | Cirrhosis Severity free to use?

Yes, the Child-Pugh Score Calculator | Cirrhosis Severity is completely free to use. There are no hidden fees, subscriptions, or limitations on the number of calculations you can perform.

Can I use the Child-Pugh Score Calculator | Cirrhosis Severity on mobile devices?

Yes, the Child-Pugh Score Calculator | Cirrhosis Severity is fully responsive and works seamlessly on all devices including smartphones, tablets, and desktop computers.

How accurate is the Child-Pugh Score Calculator | Cirrhosis Severity?

The Child-Pugh Score Calculator | Cirrhosis Severity uses precise mathematical formulas and algorithms to ensure accurate results. However, always verify critical calculations with professional standards or consultants when needed.

Home/Health/Child-Pugh Score Calculator

Child-Pugh Score Calculator

Assess cirrhosis severity, prognosis, and surgical risk

Score Components

Bilirubin (mg/dL)

Albumin (g/dL)

INR (or PT prolongation)

Ascites

Hepatic Encephalopathy

Child-Pugh Score

Classification

Class A (5-6 points)Compensated

Class B (7-9 points)Significant compromise

Class C (10-15 points)Decompensated

Survival and Surgical Risk by Class

Outcome	Class A	Class B	Class C
1-Year Survival	100%	80%	45%
2-Year Survival	85%	60%	35%
Perioperative Mortality	10%	30%	>80%
Surgical Candidacy	Good	Moderate risk	Poor - avoid

Signs of Decompensation

Ascites

Fluid accumulation from portal hypertension and low albumin. Treat with sodium restriction, diuretics. Refractory ascites suggests poor prognosis.

Hepatic Encephalopathy

Confusion from ammonia accumulation. Grades I-II: subtle changes. Grades III-IV: stupor/coma. Treat with lactulose, rifaximin.

Variceal Bleeding

Portal hypertension causes esophageal/gastric varices. Screen with EGD. Prevent with beta-blockers or band ligation.

Hepatorenal Syndrome

Kidney failure from splanchnic vasodilation. Type 1: rapid, often fatal. Type 2: slower progression. Treat with albumin, vasopressors.

Management by Class

Class A Management

Treat underlying cause (HCV, alcohol)
Hepatocellular carcinoma surveillance
Variceal screening every 2-3 years
Avoid hepatotoxins

Class B Management

Manage complications aggressively
Consider TIPS for refractory ascites
HCC surveillance every 6 months
Refer for transplant evaluation

Class C Management

Urgent transplant evaluation
Avoid elective surgery
Aggressive complication management
Palliative care discussion if not transplant candidate

Child-Pugh vs MELD

Feature	Child-Pugh	MELD
Components	Bilirubin, albumin, INR, ascites, encephalopathy	Bilirubin, creatinine, INR, sodium (MELD-Na)
Subjective Components	Yes (ascites, encephalopathy)	No - all objective labs
Primary Use	Prognosis, surgical risk assessment	Transplant allocation (UNOS)
Includes Renal Function	No	Yes (creatinine)
Score Range	5-15 (3 classes)	6-40 (continuous)

Understanding Child-Pugh Score

History

Originally developed by Child and Turcotte in 1964 for surgical risk in cirrhosis, modified by Pugh in 1973. Still widely used despite being largely replaced by MELD for transplant allocation.

Clinical Applications

Best for: surgical risk assessment, prognosis counseling, general severity classification. Less useful for transplant prioritization (use MELD). Good for tracking progression over time.

Limitations

Subjective components (ascites, encephalopathy) cause variability. Ceiling effect - cannot distinguish among sickest patients. Does not include renal function (important prognostic factor).

Primary Biliary Cholangitis

In PBC, modified cutoffs are used: bilirubin <4 (1 pt), 4-10 (2 pts), >10 (3 pts). Standard cutoffs underestimate severity in cholestatic liver diseases.

Related Calculators

MELD Score Albumin Bilirubin Hepatic Encephalopathy

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Score Components

Bilirubin (mg/dL)

Albumin (g/dL)

INR (or PT prolongation)

Ascites

Hepatic Encephalopathy

Outcome

Class A

Class B

Class C

1-Year Survival

100%

80%

45%

2-Year Survival

85%

60%

35%

Perioperative Mortality

10%

30%

>80%

Surgical Candidacy

Good

Moderate risk

Poor - avoid

Child-Pugh vs MELD

Feature	Child-Pugh	MELD
Components	Bilirubin, albumin, INR, ascites, encephalopathy	Bilirubin, creatinine, INR, sodium (MELD-Na)
Subjective Components	Yes (ascites, encephalopathy)	No - all objective labs
Primary Use	Prognosis, surgical risk assessment	Transplant allocation (UNOS)
Includes Renal Function	No	Yes (creatinine)
Score Range	5-15 (3 classes)	6-40 (continuous)

Understanding Child-Pugh Score

History

Originally developed by Child and Turcotte in 1964 for surgical risk in cirrhosis, modified by Pugh in 1973. Still widely used despite being largely replaced by MELD for transplant allocation.

Clinical Applications

Best for: surgical risk assessment, prognosis counseling, general severity classification. Less useful for transplant prioritization (use MELD). Good for tracking progression over time.

Limitations

Subjective components (ascites, encephalopathy) cause variability. Ceiling effect - cannot distinguish among sickest patients. Does not include renal function (important prognostic factor).

Primary Biliary Cholangitis

In PBC, modified cutoffs are used: bilirubin <4 (1 pt), 4-10 (2 pts), >10 (3 pts). Standard cutoffs underestimate severity in cholestatic liver diseases.