THRIVE_for_Stroke v.1

THRIVE Score for Stroke Outcome provides an estimated prognosis after an acute ischemic stroke

Syeeda S Farruque

models@cambiocds.com

© Cambio Healthcare Systems

The THRIVE score helps to predict functional outcome, death after stroke, and the risk of brain hemorrhage after IV tPA administration in patients who suffer an ischemic stroke.

The Total Health Risk In Vascular Events (THRIVE) score utilises variables such as the NIHSS score, age, and chronic disease such as hypertension, diabetes mellitus and atrial fibrillation to predict long-term neurologic outcomes in stroke patients. The score ranges from 0-9 increasing in severity. The following scoring criteria are used: Criteria Value NIH Stroke Scale ≤ 10 0 11-20 +2 ≥ 21 +4 Age ≤ 59 0 60-79 +1 ≥ 80 +2 History Hypertension +1 Diabetes mellitus +1 Atrial fibrillation +1 Score of 0 : 79-88% chance of a good neurological outcome 0-2% predicted mortality at 90 days. Score of 9: 7-16% chance of a good neurological outcome 38-58% mortality at 90 days.

Do not use for diagnostic purposes alone.

Ref. 1: Flint AC, Cullen SP, Faigeles BS, Rao VA. Predicting long-term outcome after endovascular stroke treatment: the totaled health risks in vascular events score. AJNR Am J Neuroradiol. 2010 Aug;31(7):1192-6. doi: 10.3174/ajnr.A2050. Epub 2010 Mar 11. PubMed PMID: 20223889.

OBSERVATION.nihss.v1, OBSERVATION.basic_demographic.v1, OBSERVATION.thrive_score_for_stroke_outcome.v1, EVALUATION.thrive_score_assessment.v1