What is the GRACE clinical application tool?
The GRACE clinical application tool is a web-based downloadable application available at http://www.outcomes-umassmed.org/grace/. It is designed to help determine all-cause mortality from hospital discharge to 6 months based on a reference nomogram and a patient's score. It can help identify patients who would benefit from an early invasive strategy, as well as those who may benefit from therapies such as low-molecular-weight heparin (LMWH), platelet GP IIb/IIIa inhibitors, or more aggressive treatment if they have an elevated cardiac troponin. Additionally, the GRACE risk model can also help to assess the risk of in-hospital life-threatening complications, based on the 12-lead ECG, ST depression, and other ECG abnormalities. 