Clinical calculator

Child-Pugh Classification

A browser-only educational calculator for Child-Turcotte-Pugh scoring in chronic liver disease exam-prep scenarios. Information entered on this page is not saved or stored by RPHprep.

RPHprep provides educational exam-preparation content only. It is not medical advice, legal advice, or a substitute for professional judgment. Users should consult current Canadian laws, standards, guidelines, product monographs, and official regulatory resources.

Information you record on this page is not saved or stored. Print or send before leaving this page to avoid losing the information you enter.

Only digits 0 to 9 and a single decimal point are acceptable as numeric inputs. This calculator uses radio-button inputs only.

Customize calculator

Child-Pugh inputs

Encephalopathy
Ascites
Bilirubin
Albumin
Prothrombin time prolongation

CTP score interpretation

ScoreInterpretation
5 to 6 pointsChild class A
7 to 9 pointsChild class B
10 to 15 pointsChild class C

Additional information

Primary biliary cirrhosis note

In some references for primary biliary cirrhosis, bilirubin point values are considered differently: 1 to 4 mg/dL equals 1 point, 4 to 10 mg/dL equals 2 points, and more than 10 mg/dL equals 3 points.

References

  1. Pugh RN, Murray-Lyon IM, Dawson JL, et al. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973;60:646. PubMed
  2. Child CG, Turcotte JG. The Liver and Portal Hypertension. Philadelphia: WB Saunders Co.; 1964.
  3. Trey C, Burns DG, Saunders SJ. Treatment of hepatic coma by exchange blood transfusion. N Engl J Med. 1966;274:473. PubMed