Child-Pugh score is used to assess chronic liver disease like cirrhosis. It employs five clinical features of liver disease with scores from 1 to 3.
Points: | 1 | 2 | 3 | S. Bilirubin | below 2 | 2-3 | above 3 |
S. Albumin | above 3.5 | 2.8-3.5 | below 2.8 |
PT / INR | below 1.7 | 1.7-2.3 | above 2.3 |
Ascitis | None | mild | mod to sev |
H. Encephalopathy | None | gr 1-2 | gr 3-4 |
For primary sclerosing cholangitis (PSC) and primary biliary cirrhosis (PBC), the bilirubin 1 point corresponds to below 4 mg/dl and 2 points corresponds to 4-10 mg/dl.
For prognosis CLD is classified into Child-Pugh class A to C as below:
Points | Class | 1yr survival | 2yr survival | 5-6 | A | 100% | 85% |
7-9 | B | 81% | 57% |
10-15 | C | 45% | 35% |