The Lost Angeles pre-hospital stroke screen (LAPSS)
Evaluates: facial paresis, hand grip weakness, and arm drift
Hospital Stroke Scales
Glasgow Coma Scale (GCS)
Measures level of consciousness in patients (developed to assess patients after traumatic injury)
Evaluates: eye-opening, motor, and verbal responses
Scale ranges from 3-15
Score
Degree of Brain Injury
15
Fully conscious
13-15
Mild
9-12
Moderate
<8
Severe
National Institutes of Health Stroke Scale (NIHSS)
Gold standard and guideline recommended scale
Measure of neurologic deficit to help assess stroke severity
Evaluates: Level of consciousness, response to commands, gaze, visual fields, facial movement, motor function, sensory, language including quality of speech, and inattention
Scale ranges from 0 to 42. Higher numbers reflect a higher degree/severity of neurologic deficit.
Score
Stroke Severity
1-4
Minor Stroke
0-15
Moderate Stroke
16-20
Moderate to Severe Stroke
21-42
Severe Stroke
3. Modified Rankin Scale (mRS)
Describes the degree of functional outcome after an individual experiences a stroke
