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Cardiology
GRACE ACS Risk Score
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GRACE ACS Risk Score
In-hospital and 6-month mortality prediction in acute coronary syndrome
Overview
GRACE (Global Registry of Acute Coronary Events) uses 8 variables to predict in-hospital and 6-month mortality after ACS. Validated in over 11,000 patients across 14 countries.
Patient Variables
Years
bpm
mmHg
mg/dL
GRACE Score
0
In-Hospital Mortality
β
6-Month Mortality
β
GRACE Score Reference Table
| GRACE Score | In-Hospital Mortality | 6-Month Mortality |
|---|---|---|
| <109 | <1% | <3% (β€87) |
| 109β140 | 1β3% | 3β8% (88β128) |
| 141β170 | 3β5% | 8β15% (129β149) |
| 171β199 | 5β10% | β₯15% (β₯150) |
| β₯200 | β₯15% | β₯15% |
GRACE Points = Age + HR + SBP + Creatinine + Killip + Cardiac Arrest + ST Dev + Enzymes
Each variable mapped to published point values from GRACE regression model
Each variable mapped to published point values from GRACE regression model
Clinical Notes:
β’ GRACE score guides triage and timing of invasive strategy in NSTEMI
β’ High-risk (score >140): early invasive strategy within 24 hours
β’ Intermediate risk (109β140): invasive strategy within 72 hours
β’ Online GRACE 2.0 calculator available for more precise probability estimates
β’ GRACE score guides triage and timing of invasive strategy in NSTEMI
β’ High-risk (score >140): early invasive strategy within 24 hours
β’ Intermediate risk (109β140): invasive strategy within 72 hours
β’ Online GRACE 2.0 calculator available for more precise probability estimates
βοΈ For use by qualified healthcare professionals only. Not a substitute for clinical judgment.