Liver Scores: Child-Pugh, MELD

Liver disease severity scores for clinicians: Child-Pugh and ALBI, MELD 3.0, MELD-Na and MELD, FIB-4 and APRI. For hepatologists, gastroenterologists, internists, surgeons, transplant teams, intensivists and residents. Lab values are entered once and shared by all modes. Units are µmol/L and g/L or mg/dL and g/dL; switching units converts the values already entered. Cirrhosis • Child-Pugh score: bilirubin, albumin, ascites, hepatic encephalopathy and your choice of coagulation test — INR, prothrombin time prolongation over control, or prothrombin index • Points for each item and class A, B or C • Bilirubin cut-offs for primary biliary and primary sclerosing cholangitis • 1- and 2-year survival from cohort data for the class • ALBI index and grade from the same bilirubin and albumin MELD • MELD 3.0 (2021), MELD-Na and the original MELD from the same lab tests • Value bounds, rounding and dialysis handled by OPTN rules • 90-day survival by the MELD 3.0 model • Notes when a value was capped at an equation bound • All versions compared on one scale Fibrosis • FIB-4 with cut-offs for MASLD (separate lower cut-off from age 65) and for hepatitis C • APRI with cut-offs for significant fibrosis and cirrhosis; the AST upper limit of normal is adjustable • Limitation notes: age under 35, acute liver injury Convenient at work • Results update as you type • The current result stays under the title, with a button to jump to it • Scales with marked cut-offs and the position of the result • Input checks: impossible values are rejected • Ready-made summary: copy in one tap or share to a messenger • Reference: all scores, equations, cut-offs and sources • Light and dark theme Sources • Pugh R. N. H. et al. Br J Surg, 1973 • Johnson P. J. et al. J Clin Oncol, 2015 (ALBI) • Kamath P. S. et al. Hepatology, 2001 (MELD) • Kim W. R. et al. N Engl J Med, 2008 (MELD-Na); OPTN policy • Kim W. R. et al. Gastroenterology, 2021 (MELD 3.0) • Sterling R. K. et al. Hepatology, 2006 (FIB-4) • McPherson S. et al. Am J Gastroenterol, 2017 • Wai C. T. et al. Hepatology, 2003 (APRI) • EASL–EASD–EASO Clinical Practice Guidelines on MASLD, 2024 Entered values stay on the device and are not sent anywhere. The app does not ask for patient names or other personal data. The app calculates points and indices from published scores and equations. It does not diagnose, does not stage fibrosis, does not select therapy and gives no recommendations on treatment or transplantation; results are interpreted by a doctor. The app is not a medical device and is not intended to diagnose, treat, cure or prevent any disease. For medical advice, diagnosis and treatment, consult a doctor.

Version 3.0: the app has been rebuilt from scratch. • New scores: ALBI, MELD 3.0, MELD-Na, MELD, FIB-4 and APRI • Lab values are entered once for all scores • Child-Pugh by INR, PT prolongation or prothrombin index; bilirubin cut-offs for PBC and PSC • µmol/L or mg/dL with value conversion • Ready-made summary, reference with sources, dark theme