Kalra L, Crome P.
"The role of prognostic scores in targeting stroke rehabilitation in elderly patients."
J Am Geriatr Soc. 1993;41(4):396-400.
I➜The Orpington Prognostic Scale provides a clinically derived baseline assessment of stroke severity that can be used as a predictor of outcome in elderly stroke patients.
Based on an earlier prognostic tool (the Edinburgh Prognostic Score), this scoring instrument is simple to use and does not require extensive training to administer. The OPS assessment includes measures of motor deficit (arm), proprioception, balance and cognition (based on administration of Hodkinson’s Mental Test).
OPS scores help to target community based resources and rehabilitation more effectively. Use of OPS scores also permits the identification of a middle-group of patients with moderate deficits (Kalra et al. 1994, Pittock et al. 2008).
Deficits can be categorized as mild to moderate (scores <3.2), moderate to moderately severe (scores 3.2 – 5.2) and severe or major (scores >5.2) (Kalra and Crome 1993; Lai et al. 1998).