/Child-Pugh Score

Child-Pugh Score

Severity of liver cirrhosis and prognosis

Encephalopathy
Ascites
Bilirubin (mg/dL)
Albumin (g/dL)
INR

Total Score

0

Select criteria above.

5–6Low
7–9+Moderate
10–15+High

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.

Clinical Overview

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.

Clinical Pearl

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.

Pitfalls & Warnings

  • Ascites and encephalopathy are inherently subjective clinical assessments and can fluctuate rapidly with medical therapy (e.g., diuretics, lactulose).
  • Does not factor in renal function, which is a massive prognostic indicator in cirrhosis (addressed by the MELD score).

Academic References

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.