SPAN-100 Index (Age + NIHSS Stroke Prognosis)

SPAN-100 index (Saposnik 2013): age plus NIHSS; an index ≥ 100 (SPAN-100 positive) marks a substantially worse acute-ischemic-stroke prognosis with a much lower favorable-outcome rate.

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

Example

Age
80 years
NIHSS
22

Result: SPAN-100 index 102 — SPAN-100 positive (≥ 100): substantially worse prognosis (much lower favorable-outcome rate).

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

What the result means

Index
SPAN-100 = age (years) + NIHSS, dichotomized at 100. SPAN-100 positive when ≥ 100.
Meaning
Positive patients have higher mortality/disability and much lower rates of favorable 3-month outcome (≈ 5.6% vs ≈ 55.4% in the NINDS-tPA derivation). A counseling index, not a treatment rule.

What you enter

  • Age
  • NIHSS (0–42)
How this is calculated

Saposnik G, Guzik AK, Reeves M, Ovbiagele B, Johnston SC. Stroke Prognostication using Age and NIH Stroke Scale: SPAN-100. Neurology. 2013;80(1):21-28. 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.