Grace Score
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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.
Grace score. 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- Years (91 points) 90 years or more (100 points). The main outcome measures considered were death and myocardial infarction. This GRACE risk score calculator includes both ST segment elevation myocardial infarction (STEMI) and non ST segment elevation (non-STEMI).
GRACE score was developed by Fox et al. In 06 following a study on a population of 43,810 patients from 94 worldwide hospitals (21,6 in derivation set and 22,122 in validation set). Instead of using score ranges to calculate outcomes like in-hospital mortality, we can actually calculate a mortality for every score.
The GRACE score is also incorporated into a ‘pocket guidelines’ app developed by the European Society of Cardiology for distribution to clinicians in 55 affiliated countries. GRACE represents the Global Registry of Acute Coronary Events, an international observational data base studying patients with ACS. 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.
The research used multivariable regression to develop a final predictive model, with prospective and external validation.
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