What is the Child-Pugh score?

The Child-Pugh score classifies chronic liver disease into three classes: A (5–6 points, well-compensated), B (7–9 points, significant functional compromise), and C (10–15 points, decompensated). Each of five parameters is scored 1–3 points.

How does Child-Pugh differ from MELD?

Child-Pugh uses both objective (labs) and subjective (ascites, encephalopathy) criteria and classifies patients into three broad classes. MELD uses only objective lab values and provides a continuous numerical score. MELD is preferred for transplant allocation; Child-Pugh is widely used for surgical risk assessment and prognosis.

What are the survival rates by class?

Child-Pugh Class A: ~100% 1-year survival, ~85% 2-year survival. Class B: ~81% 1-year survival, ~57% 2-year survival. Class C: ~45% 1-year survival, ~35% 2-year survival. These are general estimates and vary by specific liver disease and comorbidities.

When should the Child-Pugh score be used?

Common uses include: assessing operative risk in cirrhotic patients (Class C patients have very high surgical mortality), guiding decisions about interventions (e.g., variceal banding, TIPS placement), monitoring disease progression, and as an entry criterion for clinical trials.

Online Medical Tools — Child-Pugh Score

Printed on 2/13/2026

For informational purposes only. This is not medical advice.

Child-Pugh Score

The Child-Pugh score (also known as the Child-Turcotte-Pugh score) classifies the severity of chronic liver disease and cirrhosis. It combines five clinical and laboratory parameters — total bilirubin, serum albumin, INR, ascites, and hepatic encephalopathy — to classify patients into Class A (well-compensated), B (significant compromise), or C (decompensated). It is widely used for surgical risk assessment and prognosis in cirrhosis.

Compare with MELD Score

Formula: Child-Pugh = Bilirubin(1–3) + Albumin(1–3) + INR(1–3) + Ascites(1–3) + Encephalopathy(1–3)

Disclaimer: This tool is for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about your health.