BARD Score (NAFLD advanced fibrosis)

BARD score for NAFLD advanced fibrosis (Harrison 2008): BMI >= 28 (+1), AST/ALT ratio >= 0.8 (+2), diabetes (+1).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

BMI
30 kg/m^2
AST
45 U/L
ALT
40 U/L
Diabetes mellitus
Yes

Result: BARD 4/4: 2 to 4 -- advanced fibrosis is not ruled out (odds ratio about 17).

The tool opens with these values already filled in. Replace them with your own.

What the result means

Bands
2-4 leaves advanced fibrosis in play (odds ratio ~17); 0-1 rules it out (negative predictive value ~96%).

What you enter

  • BMI
  • AST
  • ALT
  • Diabetes mellitus
How this is calculated
Components
BMI >= 28 (+1), AST/ALT ratio >= 0.8 (+2), diabetes (+1); total 0-4.

Harrison SA, Oliver D, Arnold HL, et al. Development and validation of a simple NAFLD clinical scoring system for identifying patients without advanced disease. Gut. 2008;57(10):1441-1447. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.