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Child-Pugh Calculator

Health
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This calculator assesses the severity of chronic liver disease and estimates prognosis using the Child-Pugh score.

How To Use

How to use this calculator

Start with your values, or try a preset.

Step 1

Enter Ascites, Bilirubin (mg/dL), Albumin (g/L), Hepatic Encephalopathy, Prothrombin Time (seconds), and INR in the units shown.

Step 2

Read INR Points, Prothrombin Time Points, Albumin Points, Bilirubin Points, Ascites Points, Encephalopathy Points, Child-Pugh Score, Child-Pugh Class, and Estimated 1-Year Survival Rate in the results panel. Results update as you change the inputs.

Step 3

Choose a preset to load an example, then adjust the values for your situation.

Worked Examples

Example calculations

See the inputs and their calculated results.

Class A, Mild Disease

Ascites: None; Bilirubin (mg/dL): 1.5; Albumin (g/L): 40; Hepatic Encephalopathy: None; Prothrombin Time (seconds): 12; INR: 1

INR Points: 1; Prothrombin Time Points: 3; Albumin Points: 1; Bilirubin Points: 1; Ascites Points: 1; Encephalopathy Points: 1; Child-Pugh Score: 7; Child-Pugh Class: B; Estimated 1-Year Survival Rate: 70%

Class B, Moderate Disease

Ascites: Slight; Bilirubin (mg/dL): 3; Albumin (g/L): 30; Hepatic Encephalopathy: Mild; Prothrombin Time (seconds): 16; INR: 1.8

INR Points: 2; Prothrombin Time Points: 3; Albumin Points: 2; Bilirubin Points: 2; Ascites Points: 2; Encephalopathy Points: 2; Child-Pugh Score: 11; Child-Pugh Class: C; Estimated 1-Year Survival Rate: 35%

Class C, Severe Disease

Ascites: Moderate; Bilirubin (mg/dL): 5; Albumin (g/L): 25; Hepatic Encephalopathy: Moderate; Prothrombin Time (seconds): 20; INR: 2.5

INR Points: 3; Prothrombin Time Points: 3; Albumin Points: 3; Bilirubin Points: 3; Ascites Points: 3; Encephalopathy Points: 3; Child-Pugh Score: 15; Child-Pugh Class: C; Estimated 1-Year Survival Rate: 35%

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Important

Use the result as an estimate and confirm any medical decisions with a qualified professional.