Attention A T users. To access the menus on this page please perform the following steps. 1. Please switch auto forms mode to off. 2. Hit enter to expand a main menu option (Health, Benefits, etc). 3. To enter and activate the submenu links, hit the down arrow. You will now be able to tab or arrow up or down through the submenu options to access/activate the submenu links.



Quick Links

Veterans Crisis Line Badge
My healthevet badge
EBenefits Badge

Child-Turcotte-Pugh Classification of Liver Disease

for Health Care Providers

Child-Turcotte-Pugh Classification of Liver Disease

Back to Liver Disease and Cirrhosis Chapter

Points Assigned
Grade A = Total score 5-6
Grade B = Total score 7-9
Grade C = Total score 10-15
AscitesAbsentSlight (or diuretic responsive)Moderate/Tense (or refractory to diuretics)
EncephalopathyNoneGrade 1-2 (or precipitant induced)Grade 3-4 (or chronic)
Bilirubin (mg/dL)<22-3>3
Albumin (mg/dL)>3.52.8-3.5<2.8
Prothrombin time (seconds over control) or INRPT: 1-3
INR: <1.7
PT: 4-6
INR: 1.7-2.3
PT: >6
INR: >2.3

From Liver Disease and Cirrhosis
Primary Care of Veterans with HIV
Office of Clinical Public Health Programs
Veterans Health Administration, 2009