Table 6.2-3. Child-Pugh score

Parameter

 

Score

1

2

3

Encephalopathy

Absent

Grade 1-2

Grade 3-4

Ascites

Absent

Moderate

Tense

Bilirubin (mg/dL [micromol/L]) in PBC

<2 (35)

<4 (70)

2-3 (35-50)

4-10 (70-170)

>3 (50)

>10 (70)

Albumin (g/dL)

>3.5

2.8-3.5

<2.8

INR

<1.7

1.7-2.3

>2.3

Total score

5-6

7-9

10-15

Child score

A

B

C

Compensated cirrhosis: Class A, no indication for liver transplantation

Decompensated cirrhosis: Class B or C, indications for liver transplantation

Adapted from Br J Surg. 1973;60(8):646-9.

INR, international normalized ratio; PBC, primary biliary cholangitis.