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mSOAR: an effective bedside stroke prognosis tool.

Mark Thaller1, Nicholas Mitchell2

  • 1Princess of Wales Hospital, Bridgend, UK mark.thaller@doctors.org.uk.

Clinical Medicine (London, England)
|June 3, 2017
PubMed
Summary
This summary is machine-generated.

The modified-SOAR (mSOAR) score effectively predicts stroke patient disability upon discharge. This validated tool aids in prognosis discussions and supports early discharge decisions.

Keywords:
Discharge disabilityRankin scoremSOARmortalitystroke prognosis

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Area of Science:

  • Neurology
  • Clinical Medicine
  • Public Health

Background:

  • The modified-SOAR (mSOAR) score, incorporating stroke subtype, Oxfordshire Community Stroke Project classification, age, pre-stroke modified Rankin Scale (mRS), and National Institutes of Health Stroke Scale, is a known predictor of mortality and hospital stay.
  • Previous research established mSOAR's reliability in predicting mortality and length of hospital stay.

Purpose of the Study:

  • To evaluate the utility of the mSOAR score in predicting patient disability at hospital discharge following a stroke.
  • To determine if mSOAR can serve as a prognostic tool for functional outcomes in stroke survivors.

Main Methods:

  • A post-hoc analysis of mSOAR scores was conducted using data from the Sentinel Stroke National Audit Programme (SSNAP) and electronic discharge summaries.
  • The study included 230 stroke admissions to Bridgend Hospital over an 11-month period.

Main Results:

  • The study population (n=230) comprised 88% infarcts, 23% with prior cerebrovascular events, and 52% female patients.
  • A mortality rate of 13% was observed, with 57% of patients experiencing slight disability or less (mRS≤2) upon discharge.
  • A statistically significant association (p<0.05) was found between increasing mSOAR scores and worse discharge disability.

Conclusions:

  • The mSOAR score demonstrates excellent predictive capability for both discharge disability and mortality in stroke patients.
  • mSOAR is a valuable tool for informing prognosis discussions with patients, families, and healthcare teams.
  • The score aids in making informed decisions regarding early supported discharge planning.