Abstract
The Child–Pugh classification is one of the commonest and oldest bedside tools utilized
in estimating prognosis in patients with cirrhosis. However, its usage as a risk prediction
tool or indeed a decision-making tool should be revisited. In this review, we discuss
some inherent issues with the Child–Pugh classification and present a few contexts
in which the current usage of Child–Pugh warrants reassessment, elaborating on its
utility in acute variceal bleeding, specifically its role in decision-making on early
transjugular intrahepatic portosystemic shunt, as well as its use in the context of
hepatocellular carcinoma and drug development and dose adjustment.
Keywords
Child–Pugh - risk prediction - modeling
