Modified_SOAR_Score_for_Stroke v.1

The SOAR Score was originally derived by Myint et al in a UK-based prospectively-collected analysis from 2013 that investigated whether 4 static variables at presentation (stroke type, age, premorbid functional status, and Oxfordshire Community Stroke Project (OCSP) classification) accurately predicted early mortality

Jack MSonkho

models@cambiocds.com

@Cambio CDS

Predicts short-term mortality in acute ischemic stroke.

Patients admitted with acute ischemic or hemorrhagic stroke that have mRS and NIH Stroke Scale assessments. Can be applied for both ischemic and hemorrhagic stroke. Component variables are familiar to most clinicians. Can be calculated quickly. Does not necessitate a weighting algorithm. Can be administered by non-MD personnel. Component variables are static over a given hospitalization. mSOAR can be calculated by adding of the selected points: 0 points 1 point 2 points Stroke type Infarct Hemorrhage -- Oxford Community Stroke Project classification LACS/PACS POCS TACS Age (years) ≤65 66–85 >85 Pre-stroke disability (Modified Rankin Score) 0–2 3–4 5 NIH Stroke Scale Score 0–4 5–10 ≥11 LACS, lacunar circulation stroke. PACS, partial anterior circulation stroke. POCS, posterior circulation stroke. TACS, total anterior circulation stroke. Facts & Figures Interpretation: mSOAR Inpatient mortality 0 1.0% 1 1.0% 2 1.5% 3 6.5% 4 9.2% 5 19.5% 6 26.2% 7 49.2% From Abdul-Rahim 2016. Scores >7 were not reported.

Do not use in patients with transient ischemic attack, subarachnoid hemorrhage, or subdural hemorrhage. Does not apply to patients with transient ischemic attack, subarachnoid hemorrhage, or subdural hemorrhage.

Myint PK, Clark AB, Kwok CS, et al. The SOAR (Stroke subtype, Oxford Community Stroke Project classification, Age, prestroke modified Rankin) score strongly predicts early outcomes in acute stroke. Int J Stroke. 2014;9(3):278-83. Validation Kwok CS, Potter JF, Dalton G, et al. The SOAR stroke score predicts inpatient and 7-day mortality in acute stroke. Stroke. 2013;44(7):2010-2. Abdul-rahim AH, Quinn TJ, Alder S, et al. Derivation and Validation of a Novel Prognostic Scale (Modified-Stroke Subtype, Oxfordshire Community Stroke Project Classification, Age, and Prestroke Modified Rankin) to Predict Early Mortality in Acute Stroke. Stroke. 2016;47(1):74-9.

OBSERVATION.modified_soar_score_for_stroke.v0, EVALUATION.modified_soar_score_for_stroke.v0