Criteria for Child-Pugh Classification

Home

Patients

Links

Criteria for Child-Pugh Classification

Score

Grade A = 5-6 Grade B = 7-9 Grade C = 10-15

Clinical and Biochemical Measurements		Points Scored for Increasing Abnormality
		1	2	3

Hepatic encephalopathy (grade)*	1 2 3	None	1 and 2	3 and 4

Ascites	1 2 3	Absent	Mild	Moderate

Total bilirubin (mg/dl)	1 2 3	< 2.0	2.0 - 3.0	> 3.0

Serum albumin (g/dl)	1 2 3	> 3.5	2.8 - 3.5	< 2.8

Prothrombin time (sec. prolonged) or Prothrombin time INR**	1 2 3	< 4 or < 1.7	4 - 6 or 1.7 - 2.3	> 6 or >2.3

*According to grading of Trey, Burns, and Saunders (1996).

Articles

Pugh RNH, Murray-Lyon IM, Dawson JL, Pietroni MC and Williams R.
Transection of the esophagus for bleeding esophageal varices.
Brit. J. Surg. 60: 646-654, 1973.

**Lucey MR, Brown KA, Everson GT, Fung JJ, Gish R, Keeffe EB, et al.
Minimal Criteria for Placement of Adults on the Liver Transplant Waiting List
Liver Transplantation ans Surgery, Vol. 3, No 6 (November), 1997:pp 628-637