MDCalc

PLAN Score for Stroke

Predicts mortality and severe disability in acute ischemic stroke.

Preadmission dependence
Cancer
Congestive heart failure
Atrial fibrillation
Level of consciousness
years

Arm weakness

Significant or total

Leg weakness

Significant or total

Neglect or aphasia

Result:

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Advice
  • Use this score to augment, but not replace, NIHSS, imaging, and clinical judgement when framing prognosis and guiding treatment discussions.
  • Results should not be used to support or withhold reperfusion therapies.
  • Be aware that a patient’s stroke trajectory may evolve in the days following onset; reassessment may provide a more reliable prognosis.