Used to assess the prognosis of chronic liver disease, mainly cirrhosis.
Now utilized to determine prognosis, as well as the required treatment and the necessity of liver transplantation.
Utilized 5 clinical measures of liver disease with scoring of 1-3 depending on the severity of derangement: total bilirubin, serum albumin, INR, ascites, and hepatic encephalopathy.
The ascites and encephalopathy scores are variable and influenced by a number of factors.
CHILD-PUGH SCORE
Criteria 1 point, 2 points, 3 points
Total serum bilirubin (mg/dL) <2, 2–3, >3
Serum albumin (g/dL). >3.5, 2.8–3.5, <2.8
INR <1.70, 1.71–2.20, >2.20
Ascites, No ascites, Ascites controlled, Ascites not controlled
Encephalopathy, No encephalopathy, Encephalopathy controlled, Encephalopathy not controlled
INTERPRETATION OF CHILD-PUGH SCORES
Points Class A 5–6, Survival 15–20 years, Perioperative mortality 10%
Class B 7–9 points, Candidate for liver transplant, 30% Perioperative mortality
Class C 10–15 points ,1–3 year survival, 82% Preoperative mortality