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Modified Rankin Scale (mRS)

Also called: mRS

The modified Rankin Scale grades disability after stroke or neurosurgery from 0 (no symptoms) to 6 (death). Scores of 0 to 2 or 0 to 3 are commonly used as a good outcome.

The modified Rankin Scale (mRS) is the standard global disability measure in stroke and cerebrovascular surgery. The grades are: 0, no symptoms; 1, no significant disability despite symptoms; 2, slight disability, able to look after own affairs without help; 3, moderate disability, needs some help but walks unassisted; 4, moderately severe disability, unable to walk or attend to bodily needs without help; 5, severe disability, bedridden and needing constant care; 6, death.

Studies often dichotomize the scale. mRS 0 to 2 is usually called functional independence, while some surgical series, particularly for complex aneurysms, define a good outcome as mRS 0 to 3.

Because the cut point changes what counts as success, it should always be stated alongside any reported good-outcome rate.

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Educational reference. Not medical advice and not for clinical decision-making.