This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Child - Pugh classification (severity of liver dysfunction)

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

The Child- Pugh classification is a means of assessing the severity of liver cirrhosis.

Score

1

2

3

bilirubin (micromol/l)

<34

34-50

>50

albumin (g/l)

>35

28-35

<28

PT (s prolonged)

<4

4-6

>6

encephalopathy

none

mild

marked

ascites

none

mild

marked

If there is primary biliary cirrhosis or sclerosing cholangitis then bilirubin is classified as <68=1; 68-170=2; >170=3.

The individual scores are summed and then grouped as:

  • <7 = A
  • 7-9 = B
  • >9 = C

A C classification forecasts a survival of less than 12 months.

From: Pugh RNH, Murray-Lyon IM, Dawson JL et al. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg 1973;60:649-9.


Related pages

Create an account to add page annotations

Add information to this page that would be handy to have on hand during a consultation, such as a web address or phone number. This information will always be displayed when you visit this page