GRACE Score (in-hospital mortality)
GRACE Score (in-hospital mortality) - a deterministic tool in Sophie Well's Clinical Scoring & Risk group.
Open the GRACE Score (in-hospital mortality) → Runs in your browser. No signup, no tracking.
What this is
Compute the simplified GRACE (Global Registry of Acute Coronary Events) score for risk stratification in non-ST-elevation acute coronary syndromes. Inputs are age, heart rate, systolic blood pressure, creatinine, Killip class (clinical heart-failure category), cardiac arrest on arrival, ST-segment deviation on the presenting ECG, and elevated cardiac biomarkers. Sophie Well sums the published point values and returns the total along with the in-hospital and six-month all-cause mortality bands from the GRACE Project derivation cohort.
When to use it
Use this on an NSTE-ACS patient in the ED or chest-pain unit to choose between an early-invasive strategy (cath within 24 hours, recommended for intermediate- and high-risk GRACE bands) and an ischemia-guided strategy. GRACE is the strongest validated risk score for this purpose and is referenced explicitly in current ACC/AHA and ESC NSTE-ACS guidelines. It is not appropriate for STEMI (where immediate reperfusion supersedes risk scoring) and should not be used to triage non-ACS chest pain - use HEART for that population.
References
Granger CB, et al. GRACE Project. Arch Intern Med. 2003;163(19):2345-2353. Simplified-points implementation.
Worked example: GRACE points calculation lands in the intermediate-risk band.
Sophie Well is a reference and educational tool. Not medical, legal, or financial advice. Does not replace clinician judgment, professional billing review, or legal counsel.