🛏️ Modified Aldrete Score (PACU Discharge)
UsePost-anaesthesia recovery discharge decisions.
SourceAldrete JA. J Clin Anesth 1995 (modified)
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Score ≥ 9 with no single 0 is a typical discharge threshold.
When to use
Post-anaesthesia recovery discharge decisions.
How it works
0–2 points each for activity, respiration, circulation, consciousness and oxygen saturation (max 10). ≥ 9 commonly indicates readiness.
Key points
- Score ≥ 9 with no single 0 is a typical discharge threshold.
- Also confirm pain, nausea and surgical-site status.
- Follow local PACU discharge policy.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Activity (moves extremities) | Two extremities (1) |
|---|---|
| Respiration | Dyspnoea/limited (1) |
| Circulation (BP vs baseline) | ± 20–50 mmHg (1) |
| Consciousness | Rousable (1) |
| Oxygen saturation | Needs O₂ to keep > 90% (1) |
→Aldrete5/10
- Interpretation：Not yet ready — continue recovery monitoring
| Activity (moves extremities) | All four on command (2) |
|---|---|
| Respiration | Breathes deeply, coughs freely (2) |
| Circulation (BP vs baseline) | ± 20 mmHg (2) |
| Consciousness | Fully awake (2) |
| Oxygen saturation | SpO₂ > 92% on air (2) |
→Aldrete10/10
- Interpretation：Generally ready for discharge from PACU
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Modified Aldrete Score (PACU Discharge)?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Modified Aldrete Score (PACU Discharge) upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Modified Aldrete Score (PACU Discharge) calculated in practice? Can you show a worked example?
- Inputs: Activity (moves extremities) Two extremities (1), Respiration Dyspnoea/limited (1), Circulation (BP vs baseline) ± 20–50 mmHg (1), Consciousness Rousable (1), Oxygen saturation Needs O₂ to keep > 90% (1) → Result: Aldrete 5 /10（Interpretation: Not yet ready — continue recovery monitoring） Inputs: Activity (moves extremities) All four on command (2), Respiration Breathes deeply, coughs freely (2), Circulation (BP vs baseline) ± 20 mmHg (2), Consciousness Fully awake (2), Oxygen saturation SpO₂ > 92% on air (2) → Result: Aldrete 10 /10（Interpretation: Generally ready for discharge from PACU）