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Child-Pugh Score

GastroenterologySurgery & Trauma

Medical context

Classify cirrhosis severity (A/B/C) using bilirubin, albumin, INR, ascites, and encephalopathy.

GI and hepatology teams use this with endoscopy findings, labs, and transplant referral criteria.

This page explains the Child-Pugh formula, how to interpret the output, known limitations, and peer-reviewed references so you can verify results against primary sources and local protocols.

It is grouped under Gastroenterology because liver disease and gi bleed risk tools.

How to use this calculator

  1. Enter the values requested by the Child-Pugh calculator using the units shown beside each field.
  2. Review the calculated result and read the interpretation section before acting on the output.
  3. Check limitations and references if the result will change management, dosing, or disposition.
  4. Use the related calculators section when you need supporting values (for example electrolytes, weight, or complementary risk scores).

Calculator

Result

Class A

Score 5 / 15

Educational use only. Confirm results with clinical judgment, primary sources, and local protocols. Not a substitute for professional medical advice. Full disclaimer.

Formula

Five domains scored 1–3; total 5–15 maps to class A/B/C.

Interpretation

Class A (5–6), B (7–9), C (10–15). Used for operative risk and disease severity framing.

Limitations

Subjective ascites/encephalopathy grading; MELD-Na preferred for transplant listing.

Frequently asked questions

Child-Pugh vs MELD?
Child-Pugh is clinical/class-based; MELD-Na is continuous and used in allocation systems.
Is the Child-Pugh result enough to make a treatment decision?
No. Calculators support medical decision-making but do not replace examination, shared decision-making, institutional protocols, or consultant input when stakes are high.
Does Calcmedical store the values I type in?
Inputs are processed in your browser for this session. We do not ask for patient names or medical record numbers. See our privacy policy for hosting and analytics details.

References

  • Child CG, Turcotte / Pugh modification