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. 2015 May 23;41:464–474. doi: 10.1007/s11239-015-1227-1

Table 2.

Risk stratification tools for use in patients with NSTEMI

PREDICT [17] TIMI [27] PURSUIT [28] FRISC II [29] GRACE [18] SYNERGY [30] CRUSADE [19]
Relevant population MI or UA UA or NSTEMI UA or NSTEMI UA or NSTEMI Any ACS NSTEMI or UA NSTEMI aged ≥65 years
Outcome Death Death, MI or urgent revascularization Death or nonfatal MI Death or death/MI Death or death/MI Death Mortality
Time horizon 30 days, 2 years, 6 years 14 days 30 days 1 year 6 months From 30 days to 1 year 1 year
Data source Observational cohort study RCT RCT RCT Registry RCT Registry
Items included Age Age Age Age Age Age Age
History of CVDb Having ≥3 CHD risk factorsa Gender Gender HR Creatinine clearance Serum creatinine
CHF at presentation
Shock at presentation
Kidney function
ECG severity score (based on presence of Q wave, ST-segment deviation, bundle branch block)
Charlson comorbidity index score
Known CHD (≥50 % stenosis)
Aspirin use in past 7 days
Severe angina (≥2 episodes in 24 h)
ECG changes of ≥0.5 mm
Positive biomarker
Worst CCS class in previous 6 weeks
HR
SBP
Signs of heart failure
ST depression on presenting ECG
Diabetes
Previous MI
ST depression on admission
Elevated biomarkers
SBP
Serum creatinine
Killip class
Cardiac arrest at admission
ST-segment deviation
Elevated cardiac enzymes/markers
Weight
Baseline hemoglobin level
Baseline platelet count
Nadir platelet count
Atrial fibrillation/flutter
Statin use in first 30 days since initial hospitalization
CABG during first 30 days after initial hospitalization
Gender
SBP
Signs of heart failure on presentation
HR
Weight
Prior heart failure
Hematocrit
Troponin ratio
Prior stroke
Diabetes
Gender
Prior PAD

TIMI risk score for UA/NSTEMI: http://www.mdcalc.com/timi-risk-score-for-uanstemi/

GRACE risk score for ACS: http://www.mdcalc.com/grace-acs-risk-and-mortality-calculator/

ACS acute coronary syndrome, CABG coronary artery bypass grafting, CCS Canadian Cardiovascular Society (angina measure), CHD coronary heart disease, CHF congestive heart failure, CVD cardiovascular disease, DM diabetes mellitus, ECG electrocardiogram, HR heart rate, MI myocardial infarction, NSTEMI non-ST-segment elevation myocardial infarction, PAD peripheral arterial disease, RCT randomized controlled trial, SBP systolic blood pressure, UA unstable angina

aFamily history of CHD, hypertension, hypercholesterolemia, diabetes, or current smoker

bHistory of MI, stroke, angina >8 weeks before admission, CABG, cardiac arrest and/or hypertension