Flint et al reported the Totaled Health Risks in Vascular Events (THRIVE) score for evaluating a patient with stroke. The authors are from Kaiser Permanente Northern California.
Patient selection: stroke
Outcome: modified Rankin score (mRS) or mortality at 90 days, with a good outcome mRS 0 to 2.
Parameters:
(1) age in years
(2) NIHSS score (ranges from 0 to 36)
(3) hypertension
(4) diabetes mellitus
(5) atrial fibrillation
Parameter
Finding
Points
age in years
< 60 years
0
60 to 79 years
1
>= 80 years
2
NIHSS score
<11
0
11 to 20
2
>= 21
4
hypertension
absent
0
present
1
diabetes mellitus
absent
0
present
1
atrial fibrillation
absent
0
present
1
total score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score 9
• The higher the score the worse the outcome.
Score
Percent Good Outcome
0
92%
1
79%
2
66%
3
52%
4
41%
5
29%
6
20%
7
12%
8
4%
9
0%
from Figure 1 Kamel et al; NINDS tPA trial
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