Child-Pugh Score for Cirrhosis Mortality

Usage

The Child-Pugh Score estimates cirrhosis severity and can be used to assess the prognosis of patients with cirrhosis. More recent scores, such as the MELD score, provide better prognostic value, and have become more widely used.

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Summary

The Child-Pugh (CTP) Score is obtained by adding the points for each parameter.

 

Parameter	1 point	2 Points	3 Points
Ascites	Absent	Slight	Moderate
Encephalopathy	Absent	Grade 1-2	Grade 3-4
Bilirubin (mg/dL)	< 2	2 - 3	> 3
Albumin (g/dL)	> 3.5	2.8 - 3.5	< 2.8
INR	< 1.7	1.7 - 2.3	> 2.3

 

Class A (5 - 6 points)

• Life Expectancy: 15-20 years
• Abdominal surgery peri-operative mortality: 10%

 

Class B (7 - 9 points)

• Indication for transplant evaluation.
• Abdominal surgery peri-operative mortality: 30%

 

Class C (10 - 15 points)

• Life expectancy: 1-3 years
• Abdominal surgery peri-operative mortality: 82%

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