The GRACE risk score: Difference between revisions
Jump to navigation
Jump to search
Rim Halaby (talk | contribs) No edit summary |
Rim Halaby (talk | contribs) No edit summary |
||
Line 4: | Line 4: | ||
==Overview== | ==Overview== | ||
The Global Registry of Acute Coronary Events (GRACE) risk score has been developed for the assessment of the risk of death among patients with [[acute coronary syndrome]]. There is a GRACE risk score for the estimation of in-hospital mortality and another for mortality in the period from the time of hospital discharge up to 6 months.<ref name="pmid14581255">{{cite journal| author=Granger CB, Goldberg RJ, Dabbous O, Pieper KS, Eagle KA, Cannon CP et al.| title=Predictors of hospital mortality in the global registry of acute coronary events. | journal=Arch Intern Med | year= 2003 | volume= 163 | issue= 19 | pages= 2345-53 | pmid=14581255 | doi=10.1001/archinte.163.19.2345 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14581255 }} </ref><ref name="pmid15187054">{{cite journal| author=Eagle KA, Lim MJ, Dabbous OH, Pieper KS, Goldberg RJ, Van de Werf F et al.| title=A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registry. | journal=JAMA | year= 2004 | volume= 291 | issue= 22 | pages= 2727-33 | pmid=15187054 | doi=10.1001/jama.291.22.2727 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15187054 }} [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15518464 Review in: ACP J Club. 2004 Nov-Dec;141(3):80] </ref> | |||
==Grace Risk Score for In-Hospital Mortality== | ==Grace Risk Score for In-Hospital Mortality== | ||
Line 184: | Line 185: | ||
===Interpretation of the GRACE Score for All-Cause Mortality From Discharge to 6 Months=== | ===Interpretation of the GRACE Score for All-Cause Mortality From Discharge to 6 Months=== | ||
==References== | ==References== |
Revision as of 01:40, 8 May 2014
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rim Halaby, M.D. [2]
Overview
The Global Registry of Acute Coronary Events (GRACE) risk score has been developed for the assessment of the risk of death among patients with acute coronary syndrome. There is a GRACE risk score for the estimation of in-hospital mortality and another for mortality in the period from the time of hospital discharge up to 6 months.[1][2]
Grace Risk Score for In-Hospital Mortality
Calculation of Grace Risk Score for In-Hospital Mortality
The total GRACE risk score is calculated by adding the points assigned to the different variable shown below. The highest total possible score 363.[1]
Variable | Points |
Age (years) | |
<30 | 0 |
30–39 | 8 |
40–49 | 25 |
50–59 | 41 |
60–69 | 58 |
70–79 | 75 |
80–89 | 91 |
≥90 | 100 |
Heart rate | |
<50 | 0 |
50–69 | 3 |
70–89 | 9 |
90–109 | 15 |
110–149 | 24 |
150–199 | 38 |
≥200 | 46 |
Systolic blood pressure (mmHg) | |
<80 | 58 |
80–99 | 53 |
100–119 | 43 |
120–139 | 34 |
140–159 | 24 |
160–199 | 10 |
≥200 | 0 |
Initial serum creatinine (mg/dL) | |
0.0–0.39 | 1 |
0.4–0.79 | 4 |
0.8–1.19 | 7 |
1.2–1.59 | 10 |
1.6–1.99 | 13 |
0.2–3.99 | 21 |
≥4 | 28 |
Killip class | |
I | 0 |
II | 20 |
III | 39 |
IV | 59 |
Cardiac arrest at admission | 39 |
Elevated cardiac markers | 14 |
ST segment deviation | 28 |
Interpretation of Grace Risk Score for In-Hospital Mortality
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.[2] 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
References
- ↑ 1.0 1.1 Granger CB, Goldberg RJ, Dabbous O, Pieper KS, Eagle KA, Cannon CP; et al. (2003). "Predictors of hospital mortality in the global registry of acute coronary events". Arch Intern Med. 163 (19): 2345–53. doi:10.1001/archinte.163.19.2345. PMID 14581255.
- ↑ 2.0 2.1 Eagle KA, Lim MJ, Dabbous OH, Pieper KS, Goldberg RJ, Van de Werf F; et al. (2004). "A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registry". JAMA. 291 (22): 2727–33. doi:10.1001/jama.291.22.2727. PMID 15187054. Review in: ACP J Club. 2004 Nov-Dec;141(3):80