The palliative performance scale applied in high-care residential hospice: a retrospective study.

Jansen, Wim J J; Buma, Sannine; Gootjes, Jaap R G; Zuurmond, Wouter W A; Perez, Roberto S G M; Loer, Stephan A · J Palliat Med · 2015

retrospective_cohort · Level III

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Abstract

The Palliative Performance Scale (PPS) is a tool that is widely used to predict end of life. In Ontario, Canada, the PPS is used to mark the terminal phase of life and eligibility for terminal care. The aim of this retrospective study was to confirm that a PPS level of 40% can be used as a marker for the terminal phase of life. PPS levels from 78 patients were calculated based on the intake reports made at admission to an inpatient hospice. Although 77 patients passed away within a period of 3 months, PPS levels at admission varied from 10% to 70%. Fifty-six percent of all patients had a PPS level of 40% or less. Regarding survival, three significant PPS profiles, consisting of two or more PPS levels could be distinguished.

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