What recommendations do you have for health care providers once they have applied the GRACE ACS Risk Score? Are there any adjustments or updates you would make to the score given recent changes in medicine? The GRACE 2.0 (which MDCalc uses) has been shown to be more accurate than the original score. BP Start, add, or intensify blood pressure medication Ch Manage cholesterol by starting or intensifying statin Sm Stop smoking for at least 2 years. What pearls, pitfalls and/or tips do you have for users of the GRACE ACS Risk Score? Are there cases in which it has been applied, interpreted, or used inappropriately? It is important to consider not only total risk, but also risk that can be modified (MI risk helps with this). Why did you develop the GRACE ACS Risk Score? Was there a clinical experience that inspired you to create this tool for clinicians? We developed the GRACE ACS risk score because we saw the need for better risk stratification to guide treatment of ACS and to help address the “Treatment-Risk” paradox. We'll also occasionally use the GRACE score on our high risk NSTEMI patients to consider doing early invasive management as opposed to delayed intervention in our NSTEMI patients. We haven't had any bad outcomes and we've also saved a number of ICU beds this way for other patients that need ICU-level care. It helps us determine disposition in our STEMI patients those with a score of 130 or higher go to the ICU after catheterization, and those with lower scores can go to our step down unit. See the classic Risk game come to life with more ways to play, advanced map. a severity factor ‘MODERATE’ with a likelihood factor ‘POSSIBLE’ would give a risk rating of 2 x 2 which, of course, gives a ‘score’ of 4. It has many game options and includes many maps.
Domination is a game that is a bit like the well known board game of Risk or RisiKo. Domination is a game that is a bit like the board game Risk. Organize your forces in a ruthless campaign to crush your enemies and take their territories in this fast paced game of strategy, negotiation, and luck. Risk Rating (RR) - is a means of ‘measuring’ the risk by multiplying the severity by the likelihood e.g. Download Domination (Risk Board Game) for free. What outcome are you using as a cardiologist? In-hospital? 1-year? 3-year? We use the in-hospital mortality outcome with the GRACE score. The world is at war, and you are in command of an army fighting for global domination.
We just developed the Mini-GRACE in case a clinician did not know a patient's Killip class or did not have their creatinine available (normally these are available). Is there a difference between GRACE 2.0 and Mini-GRACE? No – they're completely substitutable. What's the difference between the GRACE and GRACE 2.0 scores? GRACE 2.0 is an improved and refined list of outcomes from GRACE instead of using score ranges to calculate outcomes like in-hospital mortality, we can actually calculate a mortality for every score.
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