{"uid":"cap_3-PLfHjPxA3iZaoMEBfky","slug":"grace-1-0-in-hospital-mortality-score-granger-2003-651ef010","name":"GRACE 1.0 In-Hospital Mortality Score (Granger 2003)","description":"Granger 2003 in-hospital GRACE 1.0: integer nomogram points from age, heart rate, systolic BP, creatinine (mg/dL or µmol/L), Killip class 1-4, cardiac arrest, ST-segment deviation, and elevated initial enzymes. Total 1-372. In-hospital mortality percent is that paper's printed score readout. Not GRACE 2.0, not Fox 2006 6-month, not ESC 108/140 cutoffs. Not a medical device and not a cath-lab order.","url":"https://api.magentlab.com/api/calc/grace","method":"GET","headers":{},"bodySchema":{"type":"object","$schema":"https://json-schema.org/draft/2020-12/schema","required":["input"],"properties":{"input":{"type":"object","required":["type","method"],"properties":{"type":{"type":"string","const":"http"},"method":{"enum":["GET","HEAD","DELETE"],"type":"string"},"headers":{"type":"object","additionalProperties":{"type":"string"}},"queryParams":{"type":"object","required":["age","heart_rate_bpm","sbp_mm_hg","killip_class","cardiac_arrest","st_deviation","elevated_enzymes"],"properties":{"age":{"type":"integer","description":"Age in years (18-120). Granger 2003 nomogram: <30 scores 0; 30-39 scores 8; 40-49 scores 25; 50-59 scores 41; 60-69 scores 58; 70-79 scores 75; 80-89 scores 91; ≥90 scores 100."},"sbp_mm_hg":{"type":"integer","description":"Systolic blood pressure in mm Hg (40-300). Granger 2003 nomogram, inverse: <80 scores 58; 80-99 scores 53; 100-119 scores 43; 120-139 scores 34; 140-159 scores 24; 160-199 scores 10; ≥200 scores 0."},"killip_class":{"type":"integer","description":"Killip class 1-4 as assigned by the caller (1 no heart failure scores 0; 2 rales or elevated venous pressure scores 20; 3 pulmonary edema scores 39; 4 cardiogenic shock scores 59). magent does not examine the patient."},"st_deviation":{"type":"boolean","description":"ST-segment deviation on the presenting ECG as assigned by the caller (Granger 2003). true scores 28. magent does not interpret the ECG. true or false."},"cardiac_arrest":{"type":"boolean","description":"Cardiac arrest at presentation as assigned by the caller (Granger 2003). true scores 39. magent does not read the chart. true or false."},"heart_rate_bpm":{"type":"integer","description":"Heart rate in beats/min (20-300). Granger 2003 nomogram: <50 scores 0; 50-69 scores 3; 70-89 scores 9; 90-109 scores 15; 110-149 scores 24; 150-199 scores 38; ≥200 scores 46."},"creatinine_mg_dl":{"type":"number","description":"Initial serum creatinine in mg/dL (0.1-20). Provide this or creatinine_umol_l. If both are sent, creatinine_mg_dl is scored. Granger 2003 nomogram: 0.0-0.39 scores 1; 0.4-0.79 scores 4; 0.8-1.19 scores 7; 1.2-1.59 scores 10; 1.6-1.99 scores 13; 2.0-3.99 scores 21; ≥4.0 scores 28."},"elevated_enzymes":{"type":"boolean","description":"Elevated initial cardiac enzymes as assigned by the caller (Granger 2003). true scores 14. magent does not read the laboratory. true or false."},"creatinine_umol_l":{"type":"number","description":"Initial serum creatinine in µmol/L (9-1768). Converted as mg/dL = µmol/L / 88.42. Alternate to creatinine_mg_dl. Ignored when creatinine_mg_dl is present."}}}},"additionalProperties":false},"output":{"type":"object","required":["type"],"properties":{"type":{"type":"string"},"example":{"type":"object"}}}}},"responseSchema":null,"example":null,"exampleRequest":null,"tags":["x402"],"displayCostAmount":"0.005","displayCostAsset":"USDC","priceDynamic":false,"priceHint":null,"priceStatus":"priced","priceSource":"probe","requiresHandshake":false,"reviewCount":0,"rating":{"score":"0.00","successRate":"0.00","reviews":0,"stars":null,"state":"unrated"},"availabilityStatus":"unknown","priceObserved":null,"sessionDeposit":null,"pricing":{"kind":"static","summary":"$0.005/call","primary":{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"},"accepted":[{"kind":"static","protocol":"x402","network":"base","amountUsd":"0.005","per":"call","confidence":"exact"}]},"paymentMethods":[{"uid":"pm_ZJIGwe-PvuVXHEVZY2_mJ","protocol":"x402","methodType":"crypto","chain":"base","mode":"charge","costAmount":"0.005","costPer":"request","priority":0,"asset":"0x833589fCD6eDb6E08f4c7C32D4f71b54bdA02913","unit":"request","depositMicros":null,"planRef":null}],"brandName":null,"brandSlug":null,"brandBaseUrl":null,"brandDocsUrl":null,"whatItDoes":"Computes the Granger 2003 GRACE 1.0 integer nomogram score and corresponding in-hospital mortality percentage for acute coronary syndrome patients.","exampleAgentPrompt":"Calculate the GRACE 1.0 in-hospital mortality score for a 68-year-old patient with a heart rate of 95 bpm, systolic BP of 110 mmHg, creatinine of 1.4 mg/dL, Killip class 2, no cardiac arrest, ST-segment deviation present, and elevated initial cardiac enzymes.","exampleUseCases":[{"title":"ACS triage in the ED","prompt":"I have a 75-year-old ER patient with a heart rate of 112, systolic BP of 88, creatinine of 2.1 mg/dL, Killip class 3, cardiac arrest on arrival, ST deviation on the ECG, and elevated troponins — what is their GRACE 1.0 score and in-hospital mortality risk?"},{"title":"Low-acuity ACS risk check","prompt":"Score this lower-risk ACS patient using the Granger 2003 GRACE nomogram: age 52, heart rate 72 bpm, systolic BP 148 mmHg, creatinine 0.9 mg/dL, Killip class 1, no cardiac arrest, no ST deviation, and no elevated enzymes."},{"title":"Creatinine in SI units","prompt":"Compute the GRACE 1.0 in-hospital mortality for a 60-year-old with heart rate 101 bpm, systolic BP 130 mmHg, creatinine 185 µmol/L, Killip class 2, no cardiac arrest, ST deviation present, and elevated initial enzymes."}],"resultDescription":"Returns the total GRACE 1.0 integer nomogram score (range 1–372) and the corresponding in-hospital mortality percentage as published in the Granger 2003 paper. The score is the sum of points from all eight variables per the original printed nomogram.","failureModes":["Missing required parameters (age, heart_rate_bpm, sbp_mm_hg, killip_class, cardiac_arrest, st_deviation, elevated_enzymes) returns validation error","Killip class outside 1–4 returns an error","Age, heart rate, or BP outside stated bounds returns validation error","Neither creatinine_mg_dl nor creatinine_umol_l provided returns error","Payment failure (402) if x402 payment header not included or insufficient USDC balance"],"whenToPreferThis":"Use this endpoint when you need the original Granger 2003 GRACE 1.0 nomogram integer score and its associated in-hospital mortality readout — not GRACE 2.0, not Fox 2006 6-month risk, and not the ESC 108/140 cutoff classifications. Ideal for reproducing published risk stratification exactly as described in the 2003 paper.","instructions":null,"reviewSummary":null,"reviewSummaryHighlights":null,"reviewSummaryConcerns":null,"reviewSummaryGeneratedAt":null,"activationCount":0,"lastUsedAt":null,"lastSuccessfullyRanAt":null,"lastHealthCheckAt":"2026-09-14T06:48:17.849Z","isFirstParty":false}