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. 2020 Nov 22;67(1):61–69. doi: 10.1093/clinchem/hvaa189

Table 1.

Risk stratification scoring data for T2MI.

Risk Score GRACE ( 37 ) GRACE 2.0 (38) TIMI ( 37 ) TARRACO ( 37, 40)
Variables

Age

Heart rate

Systolic blood pressure

CHF Killip class

Creatinine

ST-segment deviation

Elevated troponin

Cardiac arrest at admission

Age

Heart rate

Systolic blood pressure

CHF Killip class

Creatinine

ST-segment deviation

Elevated troponin

Cardiac arrest at admission

Diuretic use*

Renal failure*

Age >=65

>=3 CAD risk factors

Known CAD (stenosis >=50%)

Aspirin use in past 7 days

Severe angina (>=2 episodes in 24 hours)

ECG ST changes >=0.5 mm

Positive cardiac marker

Age

Arterial hypertension.

Absence of chest pain.

Dyspnea.

Anemia.

Troponin >5 URL.

Original endpoint

At admission: in-hospital/to 6 months

At discharge (to 6

months)

Death: in-hospital, to 6 months, 1 year, and 3 years.

Death/MI: 1 year.

All-cause mortality, new or recurrent MI, or severe recurrent ischemia requiring urgent revascularization through 14 days Post-discharge major adverse cardiac events at 180-days including all-cause death and readmission for congestive heart failure or acute MI
T2MI performance (AUC)

All-cause mortality:

In-hospital: 0.66

30-day: 0.69

90-day: 0.70

CV death

In-hospital: 0.69

30-day: 0.72

90-day: 0.74

CV death, stroke, recurrent T1MI or T2MI

In-hospital: 0.52

30-day: 0.58

90-day: 0.57

All-cause mortality

* In-hospital:

Scottish: 0.67

Swedish: 0.82

* 1 ear:

Scottish: 0.73

Swedish: 0.73

Death or MI

* 1 ear:

Scottish: 0.70

Swedish: 0.72

All-cause mortality:

In-hospital: 0.55

30-day: 0.43

90-day: 0.54

CV death

In-hospital: 0.75

30-day: 0.67

90-day: 0.68

CV death, stroke, recurrent T1MI or T2MI

In-hospital: 0.61

30-day: 0.61

90-day: 0.58

180-day all-cause death and readmission for CHF or acute MI

Cediel et al.

Derivation: 0.75

Validation: 0.74

All-cause mortality:

In-hospital: 0.51

30-day: 0.51

90-day: 0.52

CV death

In-hospital: 0.49

30-day: 0.46

90-day: 0.47

CV death, stroke, recurrent T1MI or T2MI

In-hospital: 0.46

30-day: 0.49

90-day: 0.47

*

GRACE 2.0 recalibrated the original score using nonlinear associations for continuous variables to improve discrimination and calibration and provides an individual percentage risk. The algorithm was simplified by incorporating diuretic use and renal failure as categorical surrogates where creatinine or Killip class was not recorded. Abbreviations: CHF: congestive heart failure; AUC: Area Under the Curve; CAD: coronary artery disease; ECG: electrocardiogram; URL: upper reference limit; MI: myocardial infarction; CV: cardiovascular.