Child-Pugh Score

Classifies severity of cirrhosis for prognosis and surgical risk

Indication

id: bilirubin; label: Total Bilirubin; type: options; options: label: < 2 mg/dL; value: 1; label: 2–3 mg/dL; value: 2; label: > 3 mg/dL; value: 3
id: albumin; label: Albumin; type: options; options: label: > 3.5 g/dL; value: 1; label: 2.8–3.5 g/dL; value: 2; label: < 2.8 g/dL; value: 3
id: inr; label: INR; type: options; options: label: < 1.7; value: 1; label: 1.7–2.3; value: 2; label: > 2.3; value: 3
id: ascites; label: Ascites; type: options; options: label: None; value: 1; label: Mild / controlled; value: 2; label: Moderate-severe / refractory; value: 3
id: encephalopathy; label: Hepatic Encephalopathy; type: options; options: label: None; value: 1; label: Grade 1–2 (controlled); value: 2; label: Grade 3–4 (poorly controlled); value: 3

function(score) { if (score <= 6) return { risk: score + '/15 — Class A', tier: 'Class A', action: 'Well-compensated. 1-year survival ~100%. Eligible for most procedures.', color: 'green' }; if (score <= 9) return { risk: score + '/15 — Class B', tier: 'Class B', action: 'Significant functional compromise. 1-year survival ~80%. Higher surgical risk.', color: 'yellow' }; return { risk: score + '/15 — Class C', tier: 'Class C', action: 'Decompensated. 1-year survival ~45%. Consider transplant. Avoid elective surgery.', color: 'red' }; }

Class C: 10-15% mortality for abdominal surgery
Child-Pugh is less accurate than MELD for transplant prioritization but still widely used clinically
Encephalopathy and ascites are subjective — consider standardized grading