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    Attention COACH STUDY participants:

    The principal investigators of the study request that you use the official version of the modified score here.

    ACTION ICU Score for Intensive Care in NSTEMI

    Predicts risk of NSTEMI complications requiring ICU care.

    IMPORTANT

    This calculator is not externally validated, and as such, should be used with caution.

    INSTRUCTIONS

    Use in emergency patients with NSTEMI.

    When to Use
    Pearls/Pitfalls
    Why Use

    • Emergency patients with NSTEMI, to predict likelihood of complications requiring ICU care for patients with NSTEMI.

    • Should not be used in patients with STEMI, cardiogenic shock, or cardiac arrest.

    • Derived in patients ≥65 years old, and may not apply to younger patients.

    • Different institutions may use different thresholds for ICU admission.

    • Not yet prospectively validated.

    Helps identify patients who are initially stable but may later develop complications requiring a higher level of care, and may therefore help with disposition and avoiding failure to rescue.

    <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:

    Please fill out required fields.

    Next Steps
    Evidence
    Creator Insights
    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

    Content Contributors
    About the Creator
    Dr. Alexander C. Fanaroff
    Content Contributors