Childs-Pugh Score (cirrhosis mortality)

The Child-Pugh score is the sum of five measures, each scored 1-3.

High scores indicate a bad prognosis.

1 Point 2 Points 3 Points
Bilirubin µmol/l <34 34-50 >50
Serum albumin g/l >35 28-35 <28
INR <1.7 1.71-2.20 > 2.20
Ascites None Mild Severe
Encephalopathy None Grade I-II
(Medically controlled)
Grade III-IV
(Refractory)

References

Child CG, Turcotte JG. Surgery and portal hypertension. In: The liver and portal hypertension. Edited by CG Child. Philadelphia: Saunders 1964:50-64.

Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg 1973; 60: 646–9.

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