The Cardiovascular
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PLAN Score for Stroke

Estimates risk of death or severe disability after acute ischaemic stroke.

PLAN Score for Stroke
Age
years
Pre-stroke dependence on others for activities of daily living
Active cancer
Congestive heart failure
Atrial fibrillation
Reduced level of consciousness
Significant or total arm weakness
Significant or total leg weakness
Neglect or aphasia
Complete the fields above to see the result.

When to use

  • Estimating short- and longer-term prognosis at the bedside shortly after admission for acute ischaemic stroke.

Formula

PLAN = age/10 + 1.5 (pre-stroke dependence) + 1.5 (cancer) + 1 (congestive heart failure) + 1 (atrial fibrillation) + 5 (reduced level of consciousness) + 2 (significant/total arm weakness) + 2 (significant/total leg weakness) + 1 (neglect or aphasia).

Pearls and pitfalls

  • Derived and validated in the Registry of the Canadian Stroke Network using only variables available at admission.
  • Should augment, not replace, decisions about reperfusion therapy.

References

  1. O'Donnell MJ, Fang J, D'Uva C, et al. Arch Intern Med. 2012;172(20):1548-1556.