Aldrete Score Calculator

Score post-anaesthesia recovery with the modified Aldrete score across activity, respiration, circulation, consciousness and oxygen saturation.

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Aldrete score (out of 10)

Discharge readiness
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How to use this tool

1
Score activity

2 for moving all four limbs, 1 for two limbs, 0 for none.

2
Score breathing, circulation and consciousness

Each on the same 0–2 scale against the descriptors shown.

3
Score oxygen saturation

2 if above 92% on room air, 1 if supplementary oxygen is needed to stay above 90%, 0 if below 90% despite oxygen.

4
Total the five items

9 or 10 is the usual recovery-discharge threshold, alongside local discharge criteria.

Formula & worked example

Modified Aldrete score: five items (activity, respiration, circulation, consciousness, oxygen saturation), each scored 0, 1 or 2, total 0–10. A score of 9–10 is the conventional criterion for discharge from the post-anaesthesia care unit (Aldrete & Kroulik 1970; modified version, Aldrete 1995).

A patient moving all limbs, breathing deeply, with blood pressure within 20 mmHg of baseline, fully awake and saturating above 92% on room air scores 2 + 2 + 2 + 2 + 2 = 10 — ready for discharge from recovery.

Limitations — read this before you rely on it

The Aldrete score covers recovery physiology only; it does not assess pain, nausea, surgical bleeding, or fitness to go home alone, all of which also gate discharge. Scoring is bedside judgement, not a laboratory result. This tool supports clinical use and is not medical advice for individual patients.

Frequently asked questions

A 0–10 recovery score used after anaesthesia to judge readiness to leave the post-anaesthesia care unit.

Usually 9 or 10, plus local criteria such as controlled pain and nausea and a responsible escort.

The version that scores oxygen saturation instead of skin colour, which is more objective and works across skin tones.

Yes — surgical or medical concerns (bleeding, pain, vomiting) can keep a patient in recovery regardless of the score.

Its validated setting is post-anaesthesia recovery; it is not a general ward or home-discharge score.