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    Patent Pending

    ACTION ICU Score for Intensive Care in NSTEMI

    Predicts risk of NSTEMI complications requiring ICU care.
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    When to Use

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    <70
    0
    ≥70
    +1
    <1.1
    0
    ≥1.1
    +1
    <85
    0
    85-100
    +1
    ≥100
    +3
    ≥145
    0
    125-145
    +1
    <125
    +3
    <12
    0
    ≥12
    +2
    No
    0
    Yes
    +5
    No
    0
    Yes
    +1
    Yes
    0
    No
    +1
    No
    0
    Yes
    +2

    Result:

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    Next Steps
    Evidence
    Creator Insights

    Advice

    Do you use the ACTION ICU Score and want to contribute your expertise? Join our contributor team!

    Formula

    0 points

    1 point

    2 points

    3 points

    5 points

    Age, years

    <70

    ≥70

    --

    --

    --

    Serum creatinine, mg/dL

    <1.1

    ≥1.1

    --

    --

    --

    Heart rate, bpm

    <85

    85-100

    --

    ≥100

    --

    Systolic blood pressure, mmHg

    ≥145

    125-145

    --

    <125

    --

    Initial troponin, times above upper limit of normal

    <12

    --

    ≥12

    --

    --

    Heart failure signs or symptoms

    No

    --

    --

    --

    Yes

    ST depression on EKG

    No

    Yes

    --

    --

    --

    Prior revascularization

    Yes

    No

    --

    --

    --

    Chronic lung disease

    No

    --

    Yes

    --

    --

    Facts & Figures

    Interpretation:

    ACTION ICU Score

    Risk of complications requiring ICU care among initially uncomplicated patients with NSTEMI*

    ≤1

    3.4%

    2

    4.9%

    3

    5.5%

    4

    6.9%

    5

    9.3%

    6

    12%

    7

    14.6%

    8

    17.4%

    9

    20.8%

    10

    23.3%

    11

    27.7%

    12

    31%

    13

    31.5%

    14

    39.3%

    >14

    >39.3%

    *Cardiac arrest, shock, high-grade atrioventricular block, respiratory failure, stroke, or death during index admission. 

     

    Literature

    Other References

    Research PaperFanaroff AC, Peterson ED, Chen AY, et al. Intensive Care Unit Utilization and Mortality Among Medicare Patients Hospitalized with Non-ST-Segment Elevation Myocardial Infarction. JAMA Cardiol. 2017;2(1):36-44.Research PaperChin CT, Chen AY, Wang TY, et al. Risk adjustment for in-hospital mortality of contemporary patients with acute myocardial infarction: the acute coronary treatment and intervention outcomes network (ACTION) registry-get with the guidelines (GWTG) acute myocardial infarction mortality model and risk score. Am Heart J. 2011;161(1):113-122.e2.Research PaperNational Clinical Guidelines Centre (UK). Stable Angina: Methods, Evidence & Guidance [Internet]. London: Royal College of Physicians (UK); 2011 Jul. (NICE Clinical Guidelines, No. 126.) 14, Risk scores. Available from: https://www.ncbi.nlm.nih.gov/books/NBK83609/.
    Dr. Alexander C. Fanaroff

    About the Creator

    Alexander C. Fanaroff, MD, is a cardiologist and chief fellow at the Duke Clinical Research Institute. He is a recipient of the American Heart Association (AHA) Fellow-to-Faculty Transition Award. Dr. Fanaroff’s primary research interests are in interventional cardiology and course of care for patients with cardiovascular illnesses.

    To view Dr. Alexander C. Fanaroff's publications, visit PubMed