How can I predict my stroke patient’s outcome?

Choose a prognostic tool based on the clinical scenario. Estimate overall recovery (THRIVE, PLAN, ASTRAL), ICU needs (SETscore), early mortality (SOAR), or outcomes after thrombolysis (DRAGON).

Prognosis

THRIVE Score for Stroke Outcome

Functional outcome + mortality prediction at 3-months

Use this tool when

Needing rapid prognostic information in acute ischemic stroke

Prognosis

PLAN Score for Stroke

Broad poor-outcome risk estimate; 30 day and 1 year mortality

Use this tool when

Predicting severe disability or early mortality in acute ischemic stroke, especially with comorbid cancer and heart failure

Prognosis

ASTRAL Score for Ischemic Stroke

3-month functional poor outcome estimate

Use this tool when

Estimating longer-term recovery early after acute ischemic stroke

Prognosis

SETscore

Likelihood of long ICU stay and need for tracheostomy

Use this tool when

Treating severe stroke patient in the ICU

Prognosis

Modified SOAR Score for Stroke

Short-term mortality estimate

Use this tool when

Estimating inpatient and 7-day mortality after acute stroke

Prognosis

DRAGON Score for Post-TPA Stroke Outcome

Functional 3-month outcome after thrombolysis

Use this tool when

Estimating prognosis after thrombolysis