What does the ASPRI score measure?

The ASPRI (Acute-on-chronic liver failure Score to Predict Readmission and death In patients with cirrhosis) quantifies the 90-day probability of unplanned readmission or death after a cirrhosis-related hospitalization.

What are the ASPRI score components?

The score incorporates serum albumin (g/dL), serum sodium (mEq/L), INR, presence of hepatic encephalopathy, and presence of ascites. Each variable is weighted according to its impact on 90-day outcomes.

How is the ASPRI score interpreted?

Lower scores indicate lower risk. A score below 7 is generally considered low risk; 7–11 is intermediate risk; above 11 is high risk. The tool displays the corresponding estimated 90-day readmission probability.

Is this tool a substitute for clinical judgment?

No. The ASPRI score is a clinical aid derived from research data. It should be used alongside full clinical assessment, not as a standalone decision-making tool.

What is a normal INR for these calculations?

A normal INR is approximately 1.0. In cirrhosis, INR is often elevated due to impaired synthetic liver function. The calculator accepts values from 0.8 to 10.

ASPRI Score Calculator

Name: ASPRI Score Calculator
Availability: InStock
Author: Nham Vu

Calculate the ASPRI score to estimate the 90-day hospital readmission and mortality risk in patients with cirrhosis.

Patient Variables

Serum Albumin (g/dL)

Normal: 3.5–5.0 g/dL

Serum Sodium (mEq/L)

Normal: 136–145 mEq/L

Prothrombin Time (INR)

Normal: ~1.0

Hepatic Encephalopathy

Absent Present

Ascites

Absent Present

ASPRI Score

—

Enter values to calculate

Score Breakdown

Results will appear here after calculation.

Risk Stratification

Low risk Score < 7

Intermediate risk Score 7–11

High risk Score > 11

Reference: Morales-Arráez D, et al. Liver Int. 2020. The ASPRI score uses albumin, sodium, INR, encephalopathy, and ascites to predict 90-day readmission or death in cirrhotic patients.

Summary

Calculate the ASPRI score to estimate the 90-day hospital readmission and mortality risk in patients with cirrhosis.

How it works

Enter the patient's serum albumin level in g/dL.
Enter the serum sodium level in mEq/L.
Enter the prothrombin time as INR.
Select the presence or absence of hepatic encephalopathy.
Select the presence or absence of ascites.
The ASPRI score and 90-day readmission risk are calculated automatically.

Use cases

Estimate 90-day readmission risk at hospital discharge for cirrhotic patients.
Identify high-risk patients who may benefit from closer post-discharge follow-up.
Support clinical decision-making for discharge planning in hepatology.
Triage patients for transitional care programs after liver-related hospitalization.
Compare risk across time points during a patient's hospitalization.

Frequently Asked Questions

Last updated: 2026-07-01 · Reviewed by Nham Vu