Podcast # 457: Stroke Scores

Author: Jared Scott, MD

Educational Pearls:

• Modified Rankin Score: measure of disability often used to qualify outcomes following stroke = no disability, 6=dead, 0-1 indicate good outcome)
  • 0-6 Scale
  • 0-1 indicative of good outcome

• ASPECT score: uses CT to quantify the extent of changes in the brain due to ischemia
  • 0-10 Scale
  • 10 areas are assessed on non-contrast CT to assess for early stroke changes
  • -1 for each area with these findings
  • 8-10 is indicative of better outcomes

References

Aviv RI, Mandelcorn J, Chakraborty S, Gladstone D, Malham S, Tomlinson G, Fox AJ, Symons S. Alberta Stroke Program Early CT Scoring of CT perfusion in early stroke visualization and assessment. AJNR Am J Neuroradiol. 2007 Nov-Dec;28(10):1975-80. Epub 2007 Oct 5. PubMed PMID: 17921237.

https://manual.jointcommission.org/releases/TJC2018A/DataElem0569.html

Summarized by Will Dewispelaere, MS3 | Edited by Erik Verzemnieks, MD