Scoring Systems for Liver Cirrhosis

Key points

• For many years the Child-Pugh classification was used to classify the severity of liver cirrhosis. However, in recent years the Model for End-Stage Liver Disease (MELD) has been increasingly used,
• 7-9 = B ➢ > 9 = C MELD Uses a combination of a patient's bilirubin, creatinine, and the international normalized ratio (INR) to predict survival.
• 40 or more: 71.3% mortality
• 30 - 39: 52.6% mortality
• 20 - 29: 19.6% mortality