Tested on Gulf Medical Boards (DHA, SMLE, MOH & HAAD)
Clinical calculations and diagnostic scoring systems like Child-Pugh Score frequently appear on Prometric exams. Master high-yield clinical vignettes with instant AI-powered pathophysiology rationales.
What is the Child-Pugh Score?
The Child-Pugh Score is an evidence-based clinical decision rule engineered to quantify diagnostic probability, stratify clinical severity, and guide therapeutic decision-making in gastroenterology & hepatology practice. The Child-Pugh Score evaluates the prognosis of chronic liver disease, mainly cirrhosis. It stratifies patients into three classes (A, B, C) which correlate with 1-year and 2-year survival rates. Clinical scoring tools like Child-Pugh Score are essential in acute and outpatient management, enabling clinicians to objectively differentiate between low-risk candidates suitable for conservative therapy and high-risk patients requiring urgent interventions. Verified against current 2026 clinical standards, this tool is extensively tested on Gulf health authority licensing exams including DHA (Dubai), SMLE (Saudi Arabia), MOH, HAAD/DOH (Abu Dhabi), OMSB (Oman), and QCHP (Qatar).
💡Clinical Pearls & Diagnostic Utility
Determines the prognosis of patients with liver cirrhosis and the required strength of medical treatment. It is also used to assess the risk of perioperative mortality.
Formula & Calculation Parameters
The mathematical equation and clinical variables required to calculate Child-Pugh Score:
Score Interpretation & Clinical Stratification
| Score Range | Clinical Interpretation | Risk Tier |
|---|---|---|
| ≤ 6 | Class A | green |
| 7 – 9 | Class B | yellow |
| ≥ 10 | Class C | red |
When to Exercise Caution
Subjective variables like ascites and encephalopathy. The MELD score is often preferred for transplant allocation as it uses entirely objective lab values.
Clinical Review Board
Dr. Muhammad Nouman, MBBS
Capital Medical University | PMDC Reg No: 117744-P
Clinical Audit Status
✓ Verified for 2026 Guidelines
Last updated: 2026-08-07
Peer-Reviewed Medical Literature
- •Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973;60(8):646-649.
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