section name header

Table 154-3

Child-Pugh Classification of Cirrhosis

FactorUnits123
Serum bilirubinµmol/L<3434-51>51
mg/dL<2.02.0-3.0>3.0
Serum albuming/L>3530-35<30
g/dL>3.53.0-3.5<3.0
Prothrombin timeSeconds prolonged0-44-6>6
INR<1.71.7-2.3>2.3
Ascites NoneEasily controlledPoorly controlled
Hepatic encephalopathy NoneMinimalAdvanced

Note: The Child-Pugh score is calculated by adding the scores of the five factors and can range from 5-15. Child-Pugh class is either A (a score of 5-6), B (7-9), or C (10 or above). Decompensation indicates cirrhosis with a Child-Pugh score of 7 or more (class B). This level has been the accepted criterion for listing for liver transplantation.