ARCHETYPE Grace acs risk score (openEHR-EHR-OBSERVATION.grace_acs_risk.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.grace_acs_risk.v0
ConceptGrace acs risk score
DescriptionGRACE [Global Registry of Acute Coronary Events] acute coronary syndrome (ACS) risk: Estimates admission-6-month mortality for patients with ACS
UseDetermining the mortality of these patients can be achieved with these 8 variables: Age in years Heart Rate Systolic Blood Pressure Creatinine (mg/dL) Cardiac arrest at admission ST segment deviation on EKG Elevated/abnormal cardiac enzymes Killip class (signs/symptoms): No CHF - Class I Rales and/or JVD - Class II Pulmonary edema - Class III Cardiogenic shock - Class IV The sum total of all the individual scores ranges from 0 to 372 with discretized buckets to score for continuous variables such as Age and Heart rate for example. The full details can be seen on (1) with details on scoring and more scoring interpretations beyond that below, in (2). Score interpretations: Non-STE ACS in-hospital mortality: Low: score 1-108 (<1% probablility of death in hospital) Intermediate: score 109-140 (1-3%) High: score 141-372 (>3%)
MisuseThe score was not designed to assess which patients’ anginal symptoms are due to ACS and should not be used out of context without a more thorough clinical examination.
PurposeIdentified patients will have a known STEMI (ST Elevation Myocardial Infarction) or NSTEMI (Non-ST Elevation Myocardial Infarction).
ReferencesRef. 1: Fox KA, Dabbous OH, Goldberg RJ, Pieper KS, Eagle KA, Van de Werf F, Avezum A,Goodman SG, Flather MD, Anderson FA Jr, Granger CB. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006 Nov 25;333(7578):1091. Epub 2006 Oct 10. PubMed PMID: 17032691; PubMed Central PMCID: PMC1661748.

Ref. 2: http://www.outcomes-umassmed.org/GRACE/grace_risk_table.aspx ; University Court of the University of Edinburgh and the University of Massachusetts Centres for Outcomes Research (COR)
Copyright© Apperta Foundation / Wales Cardiac Network
AuthorsAuthor name: Syeeda Farruque
Organisation: Cambio Healthcare Systems
Email: models@cambiocds.com
Date originally authored: 2017-02-18
Other Details LanguageAuthor name: Syeeda Farruque
Organisation: Cambio Healthcare Systems
Email: models@cambiocds.com
Date originally authored: 2017-02-18
OtherDetails Language Independent{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 3.0 License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/3.0/., custodian_organisation=Apperta UK, references=Ref. 1: Fox KA, Dabbous OH, Goldberg RJ, Pieper KS, Eagle KA, Van de Werf F, Avezum A,Goodman SG, Flather MD, Anderson FA Jr, Granger CB. Prediction of risk of death and myocardial infarction in the six months after presentation with acute coronary syndrome: prospective multinational observational study (GRACE). BMJ. 2006 Nov 25;333(7578):1091. Epub 2006 Oct 10. PubMed PMID: 17032691; PubMed Central PMCID: PMC1661748. Ref. 2: http://www.outcomes-umassmed.org/GRACE/grace_risk_table.aspx ; University Court of the University of Edinburgh and the University of Massachusetts Centres for Outcomes Research (COR), original_namespace=uk.org.clinicalmodels, original_publisher=Apperta UK, custodian_namespace=uk.org.clinicalmodels, MD5-CAM-1.0.1=3AB23EB711125878E60143CE90787592, build_uid=33bc3c8e-9cc4-4eb8-87a9-6f04d9328ddc, revision=0.0.1-alpha}
KeywordsGRACE ACS Risk score, STEMI, NSTEMI, Acute Coronary Syndrome, cardiology
Lifecyclein_development
UIDd23b3c39-c9f9-45d7-989d-83001ac525a6
Language useden
Citeable Identifier1051.32.901
Revision Number0.0.1-alpha
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