Severity of liver cirrhosis and prognosis
Total Score
Select criteria above.
Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.
Yasal Uyarı: Bu platformdaki klinik skorlamalar ve algoritmalar yalnızca sağlık profesyonellerini bilgilendirme amaçlıdır. Herhangi bir kesin tıbbi teşhis, tedavi veya klinik karar yerine geçemez. Nihai karar ve sorumluluk hastayı yatak başında değerlendiren hekime aittir.
The Child-Pugh Score evaluates the prognosis of chronic liver disease, primarily cirrhosis. By integrating biochemical markers (Bilirubin, Albumin, INR) with clinical assessments (Ascites, Encephalopathy), it stratifies patients into classes A, B, and C, providing critical insight for medication dosing, surgical risk assessment, and overall survival.
In surgical settings, Child-Pugh Class A patients generally tolerate elective surgeries well. Class B patients have significant perioperative risk requiring optimization, and Class C patients face prohibitive surgical mortality (often >50%) for non-liver abdominal surgeries, making elective procedures contraindicated.
Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973;60(8):646-649.
Disclaimer: The clinical scoring and algorithms on this platform are intended strictly for professional informational purposes. They do not constitute a definitive medical diagnosis, treatment, or clinical decision. The final judgment and responsibility lie with the treating physician.
Use to assess prognosis in patients with known cirrhosis and to estimate perioperative mortality risk before elective surgery. Class A patients can generally tolerate abdominal and thoracic surgery; Class C patients have prohibitively high operative mortality for elective procedures.
Encephalopathy and ascites are the two most subjective parameters and require clinical judgment. Ensure ascites is graded using the current examination and imaging, not a historical report. Nutritional status (albumin) and coagulopathy (PT/INR) are the most objective parameters and carry the strongest independent prognostic weight.
The Child-Pugh score was originally designed for variceal bleeding outcomes and not transplant prioritization. For transplant listing decisions, MELD-Na has largely supplanted Child-Pugh in most major transplant centers. Do not use Child-Pugh alone to determine transplant candidacy.