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United States Department of Veterans Affairs
National Hepatitis C Program
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Clinician Tools

Child-Turcotte-Pugh (CTP) Calculator

This calculator is used for the classification of the severity of cirrhosis.

Points*
123

CTP score is obtained by adding the score for each parameter.
CTP class:
A = 5-6 points
B = 7-9 points
C = 10-15 points

EncephalopathyNoneGrade 1-2
(or precipitant-induced)
Grade 3-4
(or chronic)
AscitesNoneMild/Moderate
(diuretic-responsive)
Severe
(diuretic-refractory)
Bilirubin (mg/dL)<22-3>3
Albumin (g/dL)>3.52.8-3.5<2.8
PT (sec prolonged)
or INR
<4
<1.7
4-6
1.7-2.3
>6
>2.3