The GRACE risk score

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Grace Risk Score for All-Cause Mortality From Discharge to 6 Months

Calculation of the GRACE Score for All-Cause Mortality From Discharge to 6 Months

The total GRACE risk score is calculated by adding the points assigned to the different variable shown below. The highest total possible score 263.

Variable	Points
Age (years)
<40	0
40–49	18
50–59	36
60–69	55
70–79	73
80–89	91
≥90	100
Heart rate
≤49.9	0
50–69.9	3
70–89.9	9
90–109.9	14
110–149.9	23
150–199.9	35
≥200	43
Systolic blood pressure (mmHg)
<80	24
80–99.9	22
100–119.9	18
120–139.9	14
140–159.9	10
160–199.9	4
≥200	0
Initial serum creatinine (mg/dL)
0.0–0.39	1
0.4–0.79	3
0.8–1.19	5
1.2–1.59	7
1.6–1.99	9
0.2–3.99	15
≥4	20
History of congestive heart failure	24
History of myocardial infarction	12
Elevated cardiac markers	15
ST segment depression	11
No in-hospital PCI	14

Interpretation of the GRACE Score for All-Cause Mortality From Discharge to 6 Months