GRACE score for acute coronary syndrome (ACS) - Evidencio
GRACE score for acute coronary syndrome (ACS)
The Global Registry of Acute Coronary Events (GRACE) score estimates the risk of death or death/myocardial infarction (MI) in patients following an initial acute coronary syndrome (ACS). 

The GRACE Score is intended for patients with ACS or those who are highly suspected to have ACS.
 
Research authors: Keth A.A. Fox, Omar H. Dabbous, Robert J. Goldberg, Karen S. Pieper, Kim A Eagle, Frans Van de Werf, Alvaro Avezum, Shaun G. Goodman, Marcus D. Flather, Frederick A. Anderson Jr. , Christopher B. Granger
Version: 2.9
  • Public
  • Cardiology
  • R-Script algorithm
V-2.9-2509.24.05.31
(01)08719327522707(8012)v2.9(4326)240531(240)2509
Download the User manual and consult the Intended purpose.
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Age

18
100
Year

Heart rate

1
220
Beats per minute

Systolic blood pressure

50
200
mmHg

Killip class

Unknown
I
II
III
IV

Creatinine value

Cardiac arrest at presentation

Elevated troponin

ST-segment deviation

GRACE version

Calculated risk of death in 6 months is: ... %

Set all parameters to calculate prediction.

The GRACE risk tool can be used to predict the cumulative risk of death and death or myocardial infarction.

Validation of the GRACE score on the FAST-MI 2005 cohort showed adequate levels of discrimination with C-indices ranging from 0.78 to 0.82.

Different international guidelines recommend the use of the GRACE risk score as risk assessment in patients with acute coronary syndrome using the GRACE score was shown to be superior to the (subjective) physician assessment for the occurrence of death or myocardial infarction. 

Calculations alone should never dictate patient care, and are no substitute for professional judgement. See our full disclaimer.

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