GRACE Score

What is the GRACE score?

GRACE is a validated risk score used in acute coronary syndrome (ACS) to estimate short-term prognosis using readily available admission variables.

It supports clinical risk stratification and can help guide intensity of monitoring and management when used within local protocols.

Why use it?

• Standardizes bedside risk stratification in ACS.
• Helps identify high-risk patients who may benefit from closer monitoring and early invasive strategy (especially in NSTE-ACS).
• Facilitates communication and documentation of risk level.

Interpretation

• 🟢 Low risk: GRACE ≤ 108.
• 🟡 Intermediate risk: GRACE 109–140.
• 🔴 High risk: GRACE ≥ 141.

How to use the result

This tool supports clinical judgment and should be interpreted within local protocols and the patient context.

• Confirm correct units before interpreting the score (SBP mmHg/kPa; creatinine mg/dL or µmol/L).
• Use Killip class consistently at presentation.
• High-risk scores generally warrant closer monitoring and escalation per guidelines.