Description

Stinear et al revised the original PREP algorithm as the PREP2. This can help to predict upper limb functional outcome following a stroke and can help plan the plans for rehabilitation. The authors are from the University of Auckland.


Patient selection: recent stroke

 

Outcome: functional outcome of upper limb at 3 months after stroke

 

Parameters:

(1) SAFE score on day 3 (sum of shoulder abduction and finger extension with each 0 to 5; sum score from 0 to 10)

(2) age of the patient in years

(3) muscle evoked potentials (MEP) on day 3 to 7

(4) NIHSS on day 3

 

SAFE Score

Age in Years

MEP

NIHSS

Outcome

< 5

NA

positive

NA

good

< 5

NA

negative

< 7

limited

< 5

NA

negative

>= 7

poor

>= 5

< 80

NA

NA

excellent

5 to 7

>= 80

NA

NA

good

>= 8

>= 80

NA

NA

excellent

 

Performance:

• The overall accuracy was 75%.


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