ToolsCalculators
ACTION ICU score for intensive care in NSTEMI
Risk of complications requiring ICU care in initially stable NSTEMI.
ACTION ICU score for intensive care in NSTEMI
Age
Serum creatinine
Initial heart rate
Initial systolic blood pressure
Initial troponin
Signs or symptoms of heart failure
ST-segment depression on ECG
Prior revascularization (PCI or CABG)
Chronic lung disease
Result1 point
Estimated lower risk of complications requiring ICU-level care.
- ACTION ICU score
- 1
When to use
- Triaging initially hemodynamically stable NSTEMI patients to ICU versus telemetry.
Formula
Points: age >=70 (1); creatinine >=1.1 (1); HR 85-99 (1) or >=100 (3); SBP <125 (3) or 125-144 (1); troponin >=12x ULN (2); heart failure (5); ST depression (1); no prior revascularization (1); chronic lung disease (2). Range 0-19.