MELD-3.0 / Child-Pugh
MELD-3.0 / Child-Pugh - a deterministic tool in Sophie Well's Clinical Scoring & Risk group.
Open the MELD-3.0 / Child-Pugh → Runs in your browser. No signup, no tracking.
What this is
Compute MELD-3.0 and Child-Pugh side-by-side. MELD-3.0 takes creatinine, bilirubin, INR, sodium, albumin, and sex and returns the integer score now used for U.S. liver-transplant allocation; Child-Pugh sums points for bilirubin, albumin, INR, ascites, and encephalopathy and returns the A/B/C class. Sources: Kim WR et al, Gastroenterology 2021 (MELD-3.0); Pugh RN et al, Br J Surg 1973 (Child-Pugh).
When to use it
Use MELD-3.0 for transplant-listing severity and short-term mortality prediction in chronic liver disease; use Child-Pugh for surgical risk stratification (especially non-transplant abdominal surgery) and for legacy contexts that still expect the A/B/C class. Neither score replaces hepatology evaluation; both are diagnostic anchors, not treatment decisions.
References
Kim WR, et al. MELD-3.0. Gastroenterology. 2021;161(6):1887-1895. Pugh RN, et al. Br J Surg. 1973;60(8):646-649 (Child-Pugh). Read the source ↗
Worked example: MELD-3.0 ~17; Child-Pugh ~7 (Class B).
Sophie Well is a reference and educational tool. Not medical, legal, or financial advice. Does not replace clinician judgment, professional billing review, or legal counsel.