C-STAT / CPSSS (prehospital LVO severity)

Cincinnati Prehospital Stroke Severity Scale / C-STAT (Katz 2015).

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

Example

Conjugate gaze deviation
Yes

Result: C-STAT / CPSSS 2/4: a total >= 2 predicts a large-vessel occlusion -- consider comprehensive-stroke-center triage per protocol.

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

What the result means

Threshold
a total of 2 or more predicts a large-vessel occlusion (about 89%/73% for severe stroke in derivation; about 70%/87% for occlusion in external validation).

What you enter

  • Conjugate gaze deviation (+2)
  • LOC questions / commands incorrect (+1)
  • Severe arm weakness (+1)
How this is calculated
Components
conjugate gaze deviation (+2), LOC questions/commands incorrect (+1), severe arm weakness (+1); total 0-4.

Katz BS, McMullan JT, Sucharew H, Adeoye O, Broderick JP. Design and validation of a prehospital scale to predict stroke severity: Cincinnati Prehospital Stroke Severity Scale. Stroke. 2015;46(6):1508-1512. 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.