Table 4: Calculating the Child-Turcotte-Pugh (CTP) Score for Severity of Cirrhosis [a]
1 point [b] 2 points [b] 3 points [b]
EncephalopathyNoneStage 1 to 2 (or precipitant-induced)Stage 3 to 4 (or chronic)
AscitesNoneMild/moderate (diuretic-responsive)Severe (diuretic-refractory)
Bilirubin (mg/dL)<2.02.0 to 3.0>3.0
Albumin (g/dL)>3.52.8 to 3.5<2.8
Prothrombin time (sec prolonged) or international normalized ratio (INR)<4.04.0 to 6.0>6.0
<1.71.7 to 2.3>2.3

Notes:

a

Adapted from U.S. Department of Veterans Affairs Viral Hepatitis and Liver Disease: Child-Turcotte-Pugh Calculator.

b

CTP score is obtained by adding the score for each parameter. CTP class:

A = 5 to 6 points (compensated, least severe liver disease)

B = 7 to 9 points (decompensated, moderately severe liver disease)

C = 10 to 15 points (decompensated, most severe liver disease)

From: Pretreatment Assessment in Adults With Chronic Hepatitis C Virus Infection

Cover of Pretreatment Assessment in Adults With Chronic Hepatitis C Virus Infection
Pretreatment Assessment in Adults With Chronic Hepatitis C Virus Infection [Internet].
Kerr CA, Aron JS, Bernstein DE, et al.
Baltimore (MD): Johns Hopkins University; 2022 Oct.
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