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

J Palliat Med. 2015 Jan;18(1):67-70. doi: 10.1089/jpm.2013.0645.

Abstract

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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Disease / classification
  • Eligibility Determination / standards*
  • Female
  • Hospice Care / organization & administration*
  • Hospice Care / statistics & numerical data*
  • Humans
  • Karnofsky Performance Status*
  • Male
  • Middle Aged
  • Ontario
  • Palliative Care / organization & administration*
  • Palliative Care / statistics & numerical data*
  • Retrospective Studies
  • Survival Analysis
  • Terminal Care / organization & administration
  • Terminal Care / statistics & numerical data*