SCRN VERIFIED REVIEW GUIDE
NIHSS - Answers - National Institutes of Health Stroke Scale used to assess stroke
severity.
Ranges from 0-42 (least to most severe) with higher scores resulting in worse patient
outcomes and increased mortality.
Hunt and Hess Scale - Answers - determines severity of SAH based on presentation
0 = unruptured aneurysm
5 = deep coma/decerebrate
1-3: 10-30% mortality
4-5: 80-90% mortality
ICH score - Answers - Score of 1 - 6 graded on admission GCS, intitial hematoma
volume, presence of IVH, infraentorial location of the bleed and age
CHADVASC score - Answers - Identify which patients with atrial fibrillation are at
greatest risk for thromboembolism, and would benefit from antithrombotic therapy.: if
score>4, recommend anticoagulation
Glasgow Coma Scale (GCS) - Answers - a scale used to assess the consciousness of a
patient upon physical examination, typically in patients with neurological concerns or
complaints
Cincinnati Prehospital Stroke Scale - Answers - a three-question scale used to rapidly
identify CVA using the mnemonic FAST
Los Angeles Prehospital Stroke Screen (LAPSS) - Answers - Age (>45)
seizure history
duration of symptoms
wheelchair bound
BGL within 60-400
Unilateral asymmetry
Modified Rankin Scale (mRS) - Answers - A classification system used to measure level
of disability or dependence in people who have suffered a stroke. 0 indicates no
disability, 6 indicates death.
Barthel Index - Answers - This index was designed to measure functional levels of self-
care and mobility and it rates the ability to feed and groom oneself, bathe, go to the
toilet, walk (or propel a wheelchair), climb stairs, and control bowel and bladder.
NIHSS - Answers - National Institutes of Health Stroke Scale used to assess stroke
severity.
Ranges from 0-42 (least to most severe) with higher scores resulting in worse patient
outcomes and increased mortality.
Hunt and Hess Scale - Answers - determines severity of SAH based on presentation
0 = unruptured aneurysm
5 = deep coma/decerebrate
1-3: 10-30% mortality
4-5: 80-90% mortality
ICH score - Answers - Score of 1 - 6 graded on admission GCS, intitial hematoma
volume, presence of IVH, infraentorial location of the bleed and age
CHADVASC score - Answers - Identify which patients with atrial fibrillation are at
greatest risk for thromboembolism, and would benefit from antithrombotic therapy.: if
score>4, recommend anticoagulation
Glasgow Coma Scale (GCS) - Answers - a scale used to assess the consciousness of a
patient upon physical examination, typically in patients with neurological concerns or
complaints
Cincinnati Prehospital Stroke Scale - Answers - a three-question scale used to rapidly
identify CVA using the mnemonic FAST
Los Angeles Prehospital Stroke Screen (LAPSS) - Answers - Age (>45)
seizure history
duration of symptoms
wheelchair bound
BGL within 60-400
Unilateral asymmetry
Modified Rankin Scale (mRS) - Answers - A classification system used to measure level
of disability or dependence in people who have suffered a stroke. 0 indicates no
disability, 6 indicates death.
Barthel Index - Answers - This index was designed to measure functional levels of self-
care and mobility and it rates the ability to feed and groom oneself, bathe, go to the
toilet, walk (or propel a wheelchair), climb stairs, and control bowel and bladder.
