Child-Pugh Score Calculator

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Child-Pugh Score

Clinical Decision Tool

Classifies cirrhosis severity using bilirubin, albumin, INR, ascites and hepatic encephalopathy.

Total Bilirubin

<34 µmol/L (<2 mg/dL) +1 34–51 µmol/L (2–3 mg/dL) +2 >51 µmol/L (>3 mg/dL) +3

Serum Albumin

>35 g/L +1 28–35 g/L +2 <28 g/L +3

INR

<1.7 +1 1.7–2.3 +2 >2.3 +3

Ascites

Absent +1 Slight / controlled +2 Moderate to severe / refractory +3

Hepatic Encephalopathy

None +1 Grade I–II +2 Grade III–IV +3

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