The predictive value of GRACE score for 30-day and 6-month major adverse cardiovascular events in Emergency Departments patients with acute chest pain
Li Min
Jiang Hui-lin
Li Yun-mei
Mo Jun-rong
Mao Hai-feng
Tian Chao-wei
Lin Pei-yi
Chen Xiao-hui
Abstract：Objective To explore the predictive value of GRACE scores to the risk of 30-day and 6-month major adverse cardiovascular events (MACE) in chest pain patients presented to Emergency Department (ED).Methods A perspective cohort study was conducted in ED from March 17,2012 to August 14,2013.Chest pain patients presented to ED with age over 18 years old were enrolled.Clinical data and items of GRACE risk scores were recorded.The 30-day and 6-month MACE of patients was followed up through Health Insurance Infornation Management System and phone.Results A total of 493 acute chest pain patients were enrolled.Thirty two patients (6％) and 38 cases (7％) happened MACE within 30 days and 6 month.The Logistic regression analysis of this research showed that GRACE score,Gender and smoke were predictors of 30-day and 6-month MACE in patients with acute chest pain.The areas under the curve (AUC) for 30-day MACE of GRACE score was 0.815 (95％ CI 0.778 ～0.849) in cutoff with 174 points.The AUC of 6-month GRACE score was 0.807 (95％ CI 0.769 ～ 0.841) in cutoff with 173 points.Conclusion GRACE scoring system can predict the 30-day and 6-month MACE in chest pain patients presented to ED.
Keywords：Acute chest painPredictionGRACE scoreMajor adverse cardiovascular events (MACE)Emergency department
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 1123-1128 )