Child-Pugh Grading of Chronic Liver Disease

Score 1 2 3

Bilirubin (µmol/L)

17.1-34.2

34.2-51.3

> 51.3

Albumin (g/L)

> 35

28-35

< 28

Ascites

none

mild

moderate

Encephalopathy (grade)

none

1 or 2

3 or 4

Prothrombin time (seconds prolonged)

1-4

4-6

> 6

 

Grade A < 7 points, Grade B 7-9 points, Grade C 10-15 points

Modified from DiPiro et al. Pharmacotherapy 6th edition.