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Child-Pugh Score Calculator

Child-Pugh score calculator for cirrhosis: bilirubin, albumin, INR, ascites, and hepatic encephalopathy each score 1 to 3 points. Total 5 to 15 maps to class A, B, or C for prognosis and perioperative risk conversations.

Enter Values

Bilirubin

Albumin

INR

Ascites

Hepatic encephalopathy

Result

Enter values above and click Calculate to see your result.

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Formula

Core Formula

Sum points for bilirubin, albumin, INR, ascites, and encephalopathy (each 1 to 3).Class A: 5 to 6, Class B: 7 to 9, Class C: 10 to 15.

How it works: Child-Pugh predates MELD but remains common for bedside grading of chronic liver disease severity and for estimating surgical risk in some guidelines.

Worked Example

If each domain scores 2 points, total is 10 (Child-Pugh class C in the traditional cutoffs).

Child-Pugh in modern care

Child-Pugh summarizes chronic liver failure burden in five domains. Many teams pair it with MELD for transplant conversations and use it when teaching hepatic decompensation.

Class A patients generally have the best perioperative outcomes among cirrhotic patients
Class C carries high mortality for major non-hepatic surgery in classic teaching
Ascites and encephalopathy should be scored as clinically present, not idealized
Replace albumin with clinical judgment if values are missing but exam is severe

Surgical decision-making requires anesthesia, hepatology, and procedure-specific data beyond this sum.

You can also calculate changes using our MELD Score Calculator, HAS-BLED Score or ASCVD Risk Calculator.

Frequently Asked Questions

Why use Child-Pugh if MELD exists?

MELD drives transplant allocation. Child-Pugh is still quick for ward communication and appears in older surgical risk literature.

Can albumin be normal with bad cirrhosis?

Yes, acute illness or resuscitation may distort albumin. Clinicians sometimes adjust interpretation when labs and exam disagree.

How do I score INR if the patient is on warfarin?

Use the measured INR as with standard Child-Pugh definitions, but document anticoagulation because it confounds synthetic function assessment.

Is ascites mild if diuretics control it?

Many systems score controlled ascites as mild (2 points) versus none (1). Follow your reference table consistently.

What about Child-Pugh score calculator 2026 updates?

The categorical cutoffs for class A, B, and C are stable in teaching. Always cite current society guidance for management decisions.

Does this replace Maddrey discriminant function for alcohol hepatitis?

No. Alcohol hepatitis may use different scores (for example Maddrey or MELD). Child-Pugh describes chronic cirrhosis baseline in this tool.

Can I embed this Child-Pugh Score Calculator on my website?

Yes. Click the "Embed" button at the top of this page to customize the size, colors, and theme, then copy the iframe code. Paste it into any HTML page, WordPress site, or CMS. It is completely free, requires no signup, and works on all devices. You can also visit our embed guide at calculory.com/services/embed-calculators for more details.

Medical Disclaimer

This calculator is provided for informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making any decisions based on these results. Do not disregard or delay seeking medical advice because of information obtained from this tool.

AI Assistant

Ask about this calculator

I can help you understand the child-pugh score calculator formula, interpret your results, and answer follow-up questions.

Try asking

Our AI assistant provides general estimates and advice only. Please consult a qualified healthcare professional before making any health-related decisions.

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MELD Score Calculator HAS-BLED Score ASCVD Risk Calculator

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