Evaluating a stroke by National Institutes of Health (NIH) guidelines

By , Caring.com senior editor

The NIH has developed a scoring system called a stroke scale that helps predict the severity and outcome of stroke. It's a complicated formula that includes 11 different factors measured during a neurological exam:

  • Level of consciousness
  • Gaze
  • Visual field
  • Facial movement
  • Motor function in arms
  • Motor function in legs
  • Coordination
  • Sensory loss
  • Language problems
  • Ability to articulate
  • Attention

Each impairment noted during the exam is assigned a certain number of points, so the higher the score, the worse the stroke:

0 No stroke

1 – 4 Minor stroke

5 – 15 Moderate stroke

15 – 20 Moderate to severe stroke

21 – 42 Severe stroke

Up to 70 percent of stroke patients who score less than 10 have a favorable outlook after a year, while less than 16 percent who score more than 20 do well.

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