Department of Veterans Affairs: Viral Hepatitis for Health Care Providers. In patients admitted to ICU, MELD score had a smaller negative likelihood ratio and a higher sensitivity than Child-Pugh score.ĬTP class: A = 5 to 6 points (compensated, least severe liver disease) B = 7 to 9 points (decompensated, moderately severe liver disease) C = 10 to 15 points (decompensated, most severe liver disease) Adapted from: U.S. In patients with acute-on-chronic liver failure, Child-Pugh score had a higher sensitivity and a lower specificity than MELD score. When do you use child Pugh vs MELD score? Here are typical MELD scores and how often they’re recalculated: 25 or higher: Every week.
