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CLINICAL SCORING · INASL 2021 · EASL 2019 · ESPEN 2020 · PUGH 1973

Child-Pugh
Score Calculator.

Complete MNT Suite — Hepatic decompensation staging, surgical risk stratification, and personalised calorie + protein targets by Class A/B/C.

Child-Turcotte-Pugh 1973
Class A · B · C Staging
4-Level MNT Protocol
INASL · EASL · ESPEN

Enter Clinical Parameters

All 5 parameters required · Dry weight for personalised nutrition targets

All calculations run in your browser — no patient data is stored or transmitted.

🩸 Biochemical Parameters

Score: <2 = 1pt · 2–3 = 2pts · >3 = 3pts
Score: >3.5 = 1pt · 2.8–3.5 = 2pts · <2.8 = 3pts
<4s = 1pt · 4–6s = 2pts · >6s = 3pts
<1.7 = 1pt · 1.7–2.3 = 2pts · >2.3 = 3pts

🏥 Clinical Parameters

Dry wt correction: None −0 kg · Slight −2.2 kg · Moderate −6 kg · Massive −14 kg
Grade 1: mild confusion · Grade 2: lethargy, disoriented · Grade 3: stupor · Grade 4: coma

⚖️ Nutrition Assessment (for personalised targets)

Ascites correction applied automatically from grade above
Massive ascites scores 3 pts but uses larger weight correction (ESPEN 2020)
Raises protein target to 1.5 g/kg in Class A (INASL 2021 · EASL 2019)

Child-Turcotte-Pugh 1973 · INASL 2021 · EASL 2019 · ESPEN 2020 · West Haven Criteria

CHILD-PUGH SCORE
—
/ 15 points
—

—Bilirubin
—Albumin
—PT/INR
—Ascites
—HE

WHAT THIS CALCULATES

CTP Score (5–15)All 5 parameters auto-scored
Class A / B / CValidated hepatic staging
Surgical Mortality90-day postoperative risk %
Personalised MNTkcal/kg · g protein/kg · meals
BCAA / LES / ONS flagsTriggered by class + HE grade
PDF Clinical ReportShare with team or patient

SPECIALIST CARE

Liver Dietitian
MNT Consultation

Our hepatology dietitian will build a personalised nutrition plan integrating your CTP class, body composition, sarcopenia status, and comorbidities.

Book Consultation →

GUIDELINES USED

INASL 2021Indian liver nutrition guidelines
EASL 2019Nutrition in chronic liver disease
ESPEN 2020Clinical nutrition in liver disease
PCRM 2025Nutrition guide for clinicians
West Haven CriteriaHepatic encephalopathy grading

THE 5 PARAMETERS

Bilirubin<2 · 2–3 · >3 mg/dL → 1, 2, 3 pts
Albumin>3.5 · 2.8–3.5 · <2.8 g/dL → 1, 2, 3 pts
PT/INR<4s/<1.7 · 4–6s/1.7–2.3 · >6s/>2.3 → 1, 2, 3
AscitesNone · Slight · Moderate-Severe → 1, 2, 3 pts
EncephalopathyNone · Grade 1–2 · Grade 3–4 → 1, 2, 3

⚕️ Clinical Disclaimer: The Child-Pugh score is a validated clinical tool for hepatic severity staging and surgical risk stratification. It does not replace the assessment of a qualified hepatologist, gastroenterologist, or clinical dietitian. All nutrition targets should be adapted to individual patient requirements, tolerance, and comorbidities. Transplant referral decisions must be made in consultation with a specialist transplant centre. Body weight targets use dry weight (ascites-corrected) per ESPEN 2020 guidelines. For Indian patients, refer to INASL 2021 guidance and NOTTO transplant protocols.