What parameters does Child-Pugh score assess?

Five parameters (1-3 points each): serum bilirubin, serum albumin, INR/PT, degree of ascites (absent/mild/moderate), and hepatic encephalopathy grade (none/Grade I-II/Grade III-IV). Max 15 points.

What are the survival rates for each class?

Child-Pugh A (5-6): 1-year survival 95-100%, 2-year 85-90%. Child-Pugh B (7-9): 1-year 80%, 2-year 60-70%. Child-Pugh C (10-15): 1-year 45-65%, 2-year 35-45%.

How does Child-Pugh guide surgical risk?

Child-Pugh A: perioperative mortality < 10%. Child-Pugh B: 30%. Child-Pugh C: 80%+ perioperative mortality - surgery generally contraindicated. MELD score has largely replaced Child-Pugh for transplant prioritisation.

Child-Pugh Score for Liver Cirrhosis

Calculate Child-Pugh score to assess cirrhosis severity. Class A (5-6): well-compensated; Class B (7-9): significant dysfunction; Class C (10-15): decompensated, 1-2 year survival 35-80%.

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Frequently Asked Questions

What parameters does Child-Pugh score assess?

What are the survival rates for each class?

How does Child-Pugh guide surgical risk?