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Published on: August 24, 2019
The palliative performance scale applied in high-care residential hospice: a retrospective study
Wim J J Jansen1, Sannine Buma, Jaap R G Gootjes
11 Department of Anesthesiology, VU University Medical Center , Amsterdam, The Netherlands .
Background:
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.
Objective:
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.
Method:
PPS levels from 78 patients were calculated based on the intake reports made at admission to an inpatient hospice.
Results:
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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