Canadian TIA Score (7-Day Stroke Risk)

Canadian TIA Score (Perry 2014): thirteen clinical and investigation variables (range −3 to 23) stratify the 7-day risk of stroke after a TIA (low ≤ 3, medium 4–8, high ≥ 9).

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

First TIA in lifetime
No
Symptoms ≥ 10 minutes
No
History of carotid stenosis
No
Already on antiplatelet therapy
Yes
History of gait disturbance
No
History of unilateral weakness
No
History of vertigo
No
Triage diastolic BP ≥ 110 mmHg
Yes
Dysarthria or aphasia
No
Atrial fibrillation on ECG
Yes
The other 3 values
Infarction on CT
No
Platelets ≥ 400 ×10⁹/L
No
Glucose ≥ 15 mmol/L
No

Result: Canadian TIA Score 8 — medium risk (4-8, ~2.3%).

The tool opens with these values already filled in. Replace them with your own.

What the result means

<= 3
Low 7-day stroke risk (<= 0.5%).
4-8
Medium risk (~2.3%).
>= 9
High risk (~5.9%). A risk score, not an admission order.

What you enter

  • First TIA in lifetime (+2)
  • Symptoms ≥ 10 minutes (+2)
  • History of carotid stenosis (+2)
  • Already on antiplatelet therapy (+3)
  • History of gait disturbance (+1)
  • History of unilateral weakness (+1)
  • History of vertigo (−3)
  • Triage diastolic BP ≥ 110 mmHg (+3)
  • Dysarthria or aphasia (+1)
  • Atrial fibrillation on ECG (+2)
The other 3 fields
  • Infarction on CT (+1)
  • Platelets ≥ 400 ×10⁹/L (+2)
  • Glucose ≥ 15 mmol/L (+3)
How this is calculated

Perry JJ, Sivilotti MLA, Sutherland J, et al. Validation of the Canadian TIA Score to identify patients at risk for stroke after transient ischemic attack. BMJ. 2021;372:n49. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.