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The Child-Pugh score employs five clinical measures of liver disease.
Each measure is scored 1-3, with 3 indicating most severe derangement. The total score indicates liver disease severity

Measure

1 point

2 points

3 points

Total bilirubin, ╬╝mol/l (mg/dl) <34 (<2) 34 – 50 (2 – 3) >50 (>3)
Serum albumin, g/l >3.5 2.8 – 3.5 <2.8
INR <1.7 1.71 – 2.20 > 2.20
Ascites None Mild Severe
Hepatic encephalopathy None Grade I-II (or suppressed with medication) Grade III-IV (or refractory)

 

Chronic liver disease is classified into Child-Pugh class A through C, using the added score from the table above.

Points Class One year survival Two year survival Life expectancy
5-6 A 100% 85% 15-20 years
7-9 B 81% 57% Should be evaluated for liver transplant
10-15 C 45% 35% 1 – 3 years

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