Liver Shrinkage (Cirrhosis): Classification

Child-Pugh classification, also called Child-Turcotte-Pugh score, is used to stage liver cirrhosis

Parameter 1 point 2 points 3 points
Serum albumin > 3.5 g/dL 2.8-3.5 g/dl < 2.8 g/dl
Serum bilirubin <2.0 mg/dl 2.0-3.0 mg/dl > 3.0 mg/dl
< 35 µmol/l 35-50 µmol/l > 50 µmol/l
Bilirubin in primary biliary cirrhosis (PBC) or primary sclerosing cholangitis (PSC) <4.0 mg/dl 4-10 mg/dl > 10.0 mg/dl
< 70 µmol/l 70-170 µmol/l > 170 µmol/l
Quick > 70 % 40-70 % < 40 %
or INR < 1,70 1,71-2,20 > 2,20
Ascites (“abdominal fluid”) in sonography (ultrasound). No low(only sonographically detectable) pronounced(clinically detectable)
Degree of encephalopathy(disturbance of brain function). None mild (stage I-II) precoma, coma (stage III-IV)

Child-Pugh stages and survival time

Stage Score 1-year survival rate
Child A 5–6 approx. 100
Child B 7–9 approx. 85
Child C 10–15 approx. 35-50