GRACE Score for Acute Coronary Syndrome Prognosis

 

Age
	Less than 40 years (0 points) 40-49 years (18 points) 50-59 years (36 points) 60-69 years (55 points) 70-79 years (73 points) 80-89 Years (91 points) 90 years or more (100 points)
		History of CHF (24 points)
		History of MI (12 points)
Resting Heart Rate
	Less than 50/min (0 points) 50-69.9/min (3 points) 70-89.9/min (9 points) 90-109.9/min (14 points) 110-149.9/min (23 points) 150-199.9 (35 points) 200/min or higher (43 points)
Systolic Blood Pressure
	79.9 mmHg or less (24 points) 80-99.9 mmHg (22 points) 100-119.9 mmHg (18 points) 120-139.9 mmHg (14 points) 140-159.9 mmHg (10 points) 160-199.9 mmHg (4 points) 200 mmHg or more (0 points)
		ST Segment Depression (11 points)
Initial Serum Creatinine
	0-0.39 mg/dL (1 point) 0.4-0.79 mg/dL (3 points) 0.8-1.19 mg/dL (5 points) 1.2-1.59 mg/dL (7 points) 1.6-1.99 mg/dL (9 points) 2.0-3.99 mg/dL (15 points) 4 mg/dL or more (20 points)
		Elevated Cardiac Enzymes (15 points)
		NO In-Hospital Percutaneous Coronary Intervention Done (14 points)

 

Total Criteria Point Count:
 

 

6 Month Estimated Mortality

 

1 to 69 Points:	Less than 1%
70 to 90 Points:	1-2.9%
91 to 110 Points:	3-3.9%
111 to 130 Points:	4-5.9%
131 to 150 Points:	6-11%
151 to 170 Points:	12-19%
171 to 190 Points:	20-33%
191 to 263 Points:	34-54%

 

 

References

1. O'Flaherty M. A bedside prediction tool predicted all-cause mortality 6 months after discharge for the acute coronary syndrome. ACP J Club. 2004 Nov-Dec;141(3):80. PubMed ID: 15518464
2. Eagle KA, Lim MJ, Dabbous OH, et al. A validated prediction model for all forms of acute coronary syndrome: estimating the risk of 6-month postdischarge death in an international registry. JAMA. 2004 Jun 9;291(22):2727-33. PubMed ID: 15187054