RxTrayClinical toolkit

Hepatology · Cirrhosis severity

Child-Pugh Score

Classify the five original Child-Pugh domains used to describe hepatic functional reserve in cirrhosis.

Evidence recordRestricted clinical scopeVersion 0.1 · Updated July 21, 2026

Patient factors

Select one answer per row

Private by design. Values are calculated on this device and are not saved or sent to analytics.

01Total bilirubin (mg/dL)Different cutoffs may be used in cholestatic disease; follow the applicable validated convention.
02Serum albumin (g/dL)
03Coagulation
04Ascites
05Hepatic encephalopathy

Result

Complete all factors

5 remaining
points

The score and its interpretation band will appear here.

No automatic diagnosis or treatment recommendation. The score contains subjective domains and several published conventions. It does not replace transplant assessment, MELD-based allocation, indication-specific drug labeling, or the complete hepatic evaluation.

Evidence packet

What this tool is based on

This versioned record keeps the citations, equation or decision rule, units, test coverage, intended population, and exclusions attached to the tool.

How evidence review works →
Intended population

Adults with cirrhosis when the conventional Child-Pugh classification is appropriate for the clinical, prognostic, procedural, or labeling question.

Equation record

Five 1–3 point domains: bilirubin, albumin, PT prolongation/INR, ascites, and encephalopathy; class A 5–6, B 7–9, C 10–15.

Unit handling

Bilirubin and albumin in mg/dL and g/dL; coagulation as INR or PT seconds prolonged; ascites and encephalopathy categorical.

Test coverage

All 15 domain categories, 5–15 bounds, class A/B/C boundaries, and complete-answer requirement.

Do not skip

Limitations and exclusions

  • Several domain definitions and cholestatic-disease bilirubin cutoffs vary across published implementations.
  • Ascites and encephalopathy scoring are subjective and affected by treatment.
  • The score does not replace MELD-based transplant allocation or indication-specific drug labeling.
  • Confirm the exact convention expected by the protocol, study, or product label.

About this tool

Child-Pugh Score Calculator for Cirrhosis

Use this Child-Pugh calculator to classify the five conventional domains used to describe hepatic functional reserve in cirrhosis.

Published definitions vary for some domains. Confirm the exact convention required by the clinical pathway, study, procedure, or product label.

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