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Table 4. Child-Turcotte-Pugh (CTP) Classification of Cirrhosis Severity

Last update on

November 6, 2019

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AST to Platelet Ratio Index (APRI)
Child-Turcotte-Pugh
Fibrosis-4 (FIB-4)
Glomerular Filtration Rate (GFR)
Model For End-Stage Liver
Disease (MELD)

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Abbreviations

Child-Turcotte-Pugh (CTP) Classification of the Severity of Cirrhosis
  CLASS A CLASS B CLASS C
Total Points 5-6 7-9 10-15
Factor 1 Point 2 Points 3 Points
Total bilirubin (µmol/L) <34 34-50 >50
Serum albumin (g/L) >35 28-35 <28
Prothrombin time / international normalized ratio <1.7 1.71-2.3 >2.3
Ascites None Mild Moderate to Severe
Hepatic encephalopathy None Grade I-II (or supressed with medication) Grade III-IV (or refractory)

Last Update: January 5, 2025                         Last Review: January 15, 2025