Child-Pugh score
Cirrhosis severity, also used for hepatic drug dose adjustment.
Inputs
0 of 5Bilirubin
Albumin
INR
Ascites
Encephalopathy
When to use
- Cirrhosis prognosis.
- Hepatic dose adjustments in drug labeling.
Pearls and pitfalls
- Ascites and encephalopathy grading is subjective.
Why use
Class shown with each point.
| Criterion | Points |
|---|---|
| Bilirubin: Below 2 mg/dL | +1 |
| 2 to 3 mg/dL | +2 |
| Above 3 mg/dL | +3 |
| Albumin: Above 3.5 g/dL | +1 |
| 2.8 to 3.5 g/dL | +2 |
| Below 2.8 g/dL | +3 |
| INR: Below 1.7 | +1 |
| 1.7 to 2.3 | +2 |
| Above 2.3 | +3 |
| Ascites: None | +1 |
| Slight | +2 |
| Moderate | +3 |
| Encephalopathy: None | +1 |
| Grade 1 to 2 | +2 |
| Grade 3 to 4 | +3 |