cliot (version 1.0.0)

aldrete_score: Modified Aldrete Score for PACU Discharge

Description

Calculates the Modified Aldrete Score, a tool used to assess a patient's recovery from anesthesia and determine readiness for discharge from the Post-Anesthesia Care Unit (PACU). The modified version replaces the original "Color" component with "Oxygen Saturation".

Usage

aldrete_score(activity, respiration, circulation, consciousness, oxygenation)

Value

A list containing:

Total_Score

The sum of the 5 components (Range 0-10).

Interpretation

Discharge readiness (Score >= 9 usually required).

Arguments

activity

Numeric (0-2). 2: Able to move 4 extremities voluntarily or on command. 1: Able to move 2 extremities voluntarily or on command. 0: Able to move 0 extremities voluntarily or on command.

respiration

Numeric (0-2). 2: Able to breathe deeply and cough freely. 1: Dyspnea or limited breathing. 0: Apneic.

circulation

Numeric (0-2). Systemic Blood Pressure (BP) relative to pre-anesthetic level. 2: BP +/- 20 mmHg of pre-anesthetic level. 1: BP +/- 20-50 mmHg of pre-anesthetic level. 0: BP +/- >50 mmHg of pre-anesthetic level.

consciousness

Numeric (0-2). 2: Fully awake. 1: Arousable on calling. 0: Not responding.

oxygenation

Numeric (0-2). (Modified Aldrete component). 2: SpO2 > 92% on room air. 1: SpO2 > 90% with supplemental oxygen. 0: SpO2 < 90% with supplemental oxygen.

References

Aldrete JA. The post-anesthesia recovery score revisited. J Clin Anesth. 1995;7(1):89-91. doi:10.1016/0952-8180(94)00001-s

Examples

# Example 1: Ready for Discharge
# Moves 4 limbs (2), Deep breathing (2), BP within 20 (2), Awake (2), SpO2 >92% RA (2)
aldrete_score(2, 2, 2, 2, 2)

# Example 2: Not Ready
# Moves 2 limbs (1), Dyspneic (1), BP within 20 (2), Arousable (1), SpO2 >90% on O2 (1)
# Total = 6
aldrete_score(1, 1, 2, 1, 1)