In-Hospital Mortality Of Acute Coronary Syndrome By Grace Score


background: Patients with acute coronary syndrome (ACS) are liable to death during their hospitalization or thereafter. The Global Registry of Acute Coronary Events (GRACE) score is a simple tool that can predict mortalityObjective: To develop a risk prediction tool for estimating death in ACS. This may facilitate triage and management of patients with ACSDesign: Cross-sectional studySetting: Azadi teaching hospital, Coronary Care Unit(CCU)Patients and methods400 patients with ACS admitted to CCU from Jan. 2012 to Jan. 2014 , were studied by applying GRACE score which uses readily identifiable clinical parameters like cardiac arrest on admission, age of the patient ,heart rate, systolic blood pressure and heart failure(according to Killip class), laboratory parameters like serum creatinine concentration, elevated cardiac markers, and lastly electrocardiogram(ECG) changes like ST segment elevation. Results: According this score patients were grouped into low, medium and high risk groups .Out of 400 patients enrolled in the study, 34(8.5%) died during the period of admission, most of them in the medium and large groupsConclusions This risk prediction tool is an easy method that can provide prediction of in-hospital mortality for ACS patients.


ACS, GRACE, Mortality