Neuro Suite – Outcome & Risk Scores

ANFS · ANOS · ASSOS · NIMMS · CPIS · NIOS · Export (conceptual, non‑validated tools)

ANFS: Adult Neurological Function Score – composite neurological status (LOC, brainstem, motor, cortical, seizures, function).

Neurological Function (current exam)

Level of consciousness

Brainstem / pupillary function

Motor response (best limb)

Cortical function (language/cognition)

Seizure burden (last 24 h)

Function & participation

ANFS: 0 / 18

0–3 mild, 4–9 moderate, 10–18 severe neurological impairment (for trend/triage; to be validated).

ANOS: Adult Neurosurgical Outcome Score – conceptual tool for risk of death or severe disability after cranial neurosurgery.

Patient & Preoperative Status

Age (years)

<60 = 0; 60–74 = 1; ≥75 = 2.

Preoperative GCS (best in 24 h)

15–13 = 0; 12–9 = 1; ≤8 = 2.

Systemic physiological reserve / comorbidities

Surgery & Imaging

Surgical urgency & magnitude

Preoperative imaging risk

Intraoperative & Immediate Postoperative

Intraoperative course

Immediate postoperative neurological status

ANOS: 0 / 14

0–3 low, 4–7 intermediate, 8–14 high risk (death or severe disability; to be validated).

ASSOS: Adult Spinal Surgery Outcome Score – conceptual tool for risk of complications/poor outcome after spine surgery.

Preoperative Profile

Age (years)

<65 = 0; 65–74 = 1; ≥75 = 2.

Comorbidity / frailty

Baseline neuro/functional status

Surgical Characteristics

Surgical region & complexity

Surgical urgency / indication

Intraoperative & Early Postoperative

Intraoperative burden

Immediate postoperative status

ASSOS: 0 / 14

0–3 low, 4–7 intermediate, 8–14 high risk (major complication/poor outcome; to be validated).

NIMMS: Neuro ICU Morbidity & Mortality Score – conceptual tool for adult neurocritical care patients.

Baseline & Admission

Age (years)

<60 = 0; 60–74 = 1; ≥75 = 2.

Worst GCS (first 6 h)

13–15 = 0; 9–12 = 1; ≤8 = 2.

Brainstem / pupillary status

Primary neurological insult

Systemic / Support (first 24 h)

Systemic organ dysfunction

Mechanical ventilation & gas exchange

Trajectory & Complications

Neurological trajectory (24–48 h)

Early ICU complications (first 72 h)

NIMMS: 0 / 16

0–4 low, 5–9 intermediate, 10–16 high risk (ICU/hospital mortality or severe dependence; to be validated).

CPIS: Chronic Pain Impact Score – simple conceptual tool for chronic pain burden and risk banding.

Pain and Impact (last 2 weeks)

Pain intensity (0–10 NRS)

0–3 = 0; 4–6 = 1; 7–8 = 2; 9–10 = 3.

Activity limitation

Sleep disturbance due to pain

Emotional distress due to pain

Analgesic/Opioid burden

CPIS: 0 / 15

0–4 low, 5–9 moderate, 10–15 high impact chronic pain (to be validated).

NIOS: Neurointerventional Outcome Score – conceptual tool for 90‑day outcome after EVT/aneurysm procedures.

Baseline Status

Age (years)

<70 = 0; 70–79 = 1; ≥80 = 2.

Baseline mRS

Procedure type

Pre‑procedural Severity

Stroke severity (NIHSS)

≤10 = 0; 11–18 = 1; ≥19 = 2.

Aneurysm clinical grade (WFNS / equivalent)

Imaging Severity

ASPECTS (ischemic core)

≥8 = 0; 6–7 = 1; ≤5 = 2.

Hemorrhage/SAH burden

Procedure & Early Outcome

Procedure complexity & time

Reperfusion/occlusion & intraprocedural events

Immediate post‑procedure status (first 24 h)

NIOS: 0 / 14

0–3 low, 4–7 intermediate, 8–14 high risk (poor 90‑day mRS 3–6; to be validated).

Export: Capture the current input values from all score tabs into a single row and download as an Excel‑compatible CSV file.[web:74][web:76]