Child-Turcotte-Pugh Calculator

Use the Child-Turcotte-Pugh Classification for Severity of Cirrhosis calculator to estimate the child's cirrhosis severity. Select the applicable Clinical and Lab Criterias, then check the classification at the bottom.

Encephalopathy

None

Mild to moderate (grade 1 or 2)

Severe (grade 3 or 4)

Ascites

None

Mild to moderate (diuretic responsive)

Severe (diuretic refractory)

Bilirubin (mg/dL)

< 2

2-3

> 3

Albumin (g/dL)

> 3.5

2.8-3.5

< 2.8

International normalized ratio

< 1.7

1.7-2.3

> 2.3

Interpretation:

Child-Turcotte-Pugh Class obtained by adding score for each parameter:

Source: Child CG, Turcotte JG. Surgery and portal hypertension. In: The liver and portal hypertension. Edited by CG Child. Philadelphia: Saunders 1964:50-64.

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