Child-Pugh Score Calculator

About this calculator

The Child-Pugh score grades the severity of chronic liver disease (cirrhosis) from five clinical measures — total bilirubin, serum albumin, INR (clotting time), ascites, and hepatic encephalopathy — each scored 1 to 3 points. The total (5–15) maps to three classes: Class A (5–6), well-compensated disease with good short-term prognosis; Class B (7–9), significant functional compromise; and Class C (10–15), decompensated, poor-prognosis disease.

Hepatologists and surgeons use it to estimate a cirrhotic patient's operative risk before non-transplant surgery, to gauge prognosis, and — historically — to help prioritize liver transplant candidates, though the newer MELD score has largely replaced Child-Pugh for formal transplant allocation while it remains widely used at the bedside.