How to Calculate Child Pugh
What is Child Pugh?
Child-Pugh score assesses liver disease severity and predicts prognosis. It guides treatment decisions and surgical risk assessment.
Step-by-Step Guide
- 1Score five parameters: albumin, bilirubin, INR, ascites, encephalopathy
- 2Each scores 1-3 points; total 5-15
- 3Class A (5-6) = best, B (7-9) = intermediate, C (10-15) = worst
Worked Examples
Input
Albumin 3.2, bili 2.5, INR 1.7, mild ascites, no encephalopathy
Result
Child-Pugh = 9 (Class B)
Moderate disease
Common Mistakes to Avoid
- ✕Using outdated components not reflecting current disease status
- ✕Confusing points with actual lab values
Frequently Asked Questions
When is Child-Pugh used?
Assessing cirrhosis severity, predicting transplant survival, and evaluating surgical risk in liver disease patients.
How does it compare to MELD score?
MELD is more objective; Child-Pugh includes subjective encephalopathy and ascites assessments.
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