GRACE — In-hospital mortality

GRACE — in-hospital mortality

Principle

Sum of eight initial variables; discrete scoring, 1–372 points.

Scope

ACS without persistent ST elevation in adults ≥18 years: local restriction. Original study included all ACS. Horizon: all-cause mortality during the initial hospitalisation.

Interpretation limits

Not for excluding ACS in chest pain. GRACE 1.0 in-hospital points, distinct from GRACE 2.0 and six-month or postdischarge models. A score ≤140 does not exclude other high-risk criteria. No individual percentage, angiography timing or automatic treatment.

Formula and logic

Sum of explicit contributions, without prior rounding.

Interpretation

1–108

Low in-hospital risk

109–140

Intermediate in-hospital risk

141–372

High in-hospital risk

Definition version : 0.2.0

Sources

• Granger et al. · Archives of Internal Medicine — Predictors of Hospital Mortality in GRACE

  2003 · Eight variables; all-cause mortality during the initial hospitalisation, all ACS in the original study.

• Hôpital Tongji · Équipe cardiologie — GRACE · table institutionnelle des points

  Consulté 2026-10-06 · Explicit equalities <30/<50/<80/≥4,0; contributions only, no accompanying treatment indication.

• ESC — NSTE-ACS · Tableau 5 : catégories de mortalité

  2007 · In-hospital categories ≤108 / 109–140 / >140; not the six-month postdischarge categories.

• ESC — NSTE-ACS companion · Questions 24 et 25

  2020 · publication 2021 · Two independent examples: 154 and 129 points. GRACE ≤140 does not cancel other high-risk criteria.