D’Amico Clinical Stages of Cirrhosis
D'Amico staging (D'Amico 2006): the presence of varices, ascites, and variceal bleeding assigns a cirrhosis stage 1–4 with rising 1-year mortality.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Varices present
- Yes
- Ascites present
- No
- Variceal bleeding
- No
Result: D'Amico stage 2 (compensated) — 1-year mortality ~3.4%.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Stage 1-2
- Compensated: no varices/ascites (~1%) or varices without bleeding (~3.4%).
- Stage 3-4
- Decompensated: ascites (~20%) or variceal bleeding (~57%). A natural-history staging, not a treatment order.
What you enter
- Varices present
- Ascites present
- Variceal bleeding
How this is calculated
D’Amico G, Garcia-Tsao G, Pagliaro L. Natural history and prognostic indicators of survival in cirrhosis: a systematic review of 118 studies. J Hepatol. 2006;44(1):217-231. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.