ACTION ICU Score (ICU Complications in NSTEMI)

ACTION ICU score: age, heart rate, systolic BP, creatinine, troponin, heart failure, ST depression, no prior revascularization, and chronic lung disease give a 0–20 score predicting complications needing critical care in NSTEMI.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Heart rate
105 bpm
Systolic BP
120 mmHg
Age ≥ 70 years
No
Creatinine ≥ 1.1 mg/dL
No
Initial troponin / ULN ≥ 12
No
Signs/symptoms of heart failure
Yes
ST-segment depression
No
No prior revascularization
No
Chronic lung disease
No

Result: ACTION ICU 11 — intermediate complication risk.

The tool opens with these values already filled in. Replace them with your own.

What the result means

< 5
Lower risk of complications needing critical care in NSTEMI.
5-11
Intermediate complication risk.
>= 12
High complication risk. Age, HR band, SBP band, creatinine, troponin, heart failure (+5), ST depression, no prior revascularization, chronic lung disease. Not a triage order.

What you enter

  • Heart rate
  • Systolic BP
  • Age ≥ 70 years (+1)
  • Creatinine ≥ 1.1 mg/dL (+1)
  • Initial troponin / ULN ≥ 12 (+2)
  • Signs/symptoms of heart failure (+5)
  • ST-segment depression (+1)
  • No prior revascularization (+1)
  • Chronic lung disease (+2)
How this is calculated

Fanaroff AC, Chen AY, Thomas LE, et al. Risk score to predict need for intensive care in initially hemodynamically stable adults with non-ST-segment-elevation myocardial infarction. J Am Heart Assoc. 2018;7(11):e008894. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.