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Neurology · Emergency Medicine

Modified SOAR Score for Stroke calculator

Enter the published formula inputs below to calculate and interpret this score.

Clinical inputs

Stroke type on imaging
Oxfordshire syndrome

Lacunar and partial anterior circulation score 0. Posterior circulation scores 1. Total anterior circulation scores 2.

years

Allowed range: 0–120 years

Quick picks

65 years or younger scores 0. From 66 through 85 scores 1. 86 years or older scores 2.

Prestroke modified Rankin grade

Grades 0, 1, and 2 score 0. Grades 3 and 4 score 1. Grade 5 scores 2.

points

Allowed range: 0–42 points

Quick picks

0 through 4 scores 0. 5 through 10 scores 1. 11 or more scores 2.

Result

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Clinical inputs

  • Stroke type on imaging
  • Oxfordshire syndrome
  • Age (years)Accepted range: 0 to 120
  • Prestroke modified Rankin grade
  • Admission NIH stroke scale (points)Accepted range: 0 to 42

Primary source

Abdul-Rahim AH et al. Derivation and validation of a novel prognostic scale (modified-SOAR) to predict early mortality in acute stroke. Stroke. DOI: 10.1161/STROKEAHA.115.009898. PMID: 26578661. Myint PK et al. Int J Stroke. 2014. DOI: 10.1111/ijs.12088. PMID: 23834262. The integer weights are printed together in Thaller M, Mitchell N. Clin Med (Lond). 2017. DOI: 10.7861/clinmedicine.17-3-204. PMID: 28572220, Table 1. Infarct 0, hemorrhage 1. Lacunar or partial anterior circulation 0, posterior circulation 1, total anterior circulation 2. Age 65 years or younger 0, 66–85 years 1, 86 years or older 2. Prestroke modified Rankin 0–2 scores 0, 3–4 scores 1, and 5 scores 2. Admission NIHSS 0–4 scores 0, 5–10 scores 1, and 11 or more scores 2. The total is 0–9. In the Glasgow validation set, early mortality across the score ranged from 3% to 42%. (2016)

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