Utilising the Palliative Prognostic Index in a mixed non-malignant and malignant patient group to determine prognosis. A general medicine tool for prognostication
Hawkins, J.; Lester, M. C.
Show abstract
ObjectivesThis study tested the use of the Palliative Prognostic Index (PPI), an established cancer prognostic tool, in a general medicine group within an acute setting for non-selective adult palliative care. The PPI score ranges from 0 to 15, with scores <6 indicating a prognosis of over 6 weeks and scores >6 indicating under 3 weeks. MethodsData from 256 patients seen over three months by the Ashford and St Peters NHS Foundation Trust Palliative Care team were analysed. PPI scores were calculated and correlated with patients date of death (DoD) to evaluate predictive value. ASPH is a medium sized hospital in England with 500 adult beds. ResultsAmong 256 patients, 145 had cancer and 111 had non-malignant disease. Higher PPI scores correlated with more accurate prognostic predictions, with an overall prediction accuracy of 70%. ConclusionsThe study demonstrates the PPI tools value for mixed groups of non-malignant and malignant diseases. The ASPH population is representative of most UK areas, suggesting that the PPI tool can guide timely care decisions in general medical settings.
Matching journals
The top 2 journals account for 50% of the predicted probability mass.
Similar papers in this journal
- Understanding and addressing challenges for Advance Care Planning in the COVID-19 pandemic: An analysis of the UK CovPall survey data from specialist palliative care services 94%
- ‘Necessity is the mother of invention’: Specialist palliative care service innovation and practice change in response to COVID-19. Results from a multi-national survey (CovPall) 93%
- Response and role of palliative care during the COVID-19 pandemic: a national telephone survey of hospices in Italy 92%
Similar papers in this journal
- The Impact on Staff of Providing Non-Invasive Advanced Respiratory Support During the Covid-19 Pandemic A Qualitative Study in an Acute Hospital 93%
- Predictors of adverse outcome in patients with suspected COVID-19 managed in a ‘virtual hospital’ setting: a cohort study 93%
- Assessing the Safety of Home Oximetry for Covid-19: A multi-site retrospective observational study 93%
Similar papers in this journal
- Nurse-physician Communication around Identifying Palliative Care Needs in Nursing Home Residents 92%
- Changing dynamics of COVID-19 deaths during the SARS-CoV2 B.1.617.2 (Delta variant) outbreak in England and Wales: Reduced COVID-19 deaths among the Care Home residents 92%
- Mortality of Care Home Residents and Community-Dwelling Controls During the COVID-19 Pandemic in 2020: Matched Cohort Study 91%
Similar papers in this journal
- Community end-of-life care during the COVID-19 pandemic: Initial findings of a UK primary care survey 94%
- A mixed-methods evaluation of patients’ views on primary care multi-disciplinary teams in Scotland 90%
- Integrating primary care and social services for older adults with multimorbidity: A qualitative study 89%
Similar papers in this journal
- An observational study of survival outcomes of people referred for ‘fast-track’ end-of-life care funding in a District General Hospital; too little too late? 95%
- Exploring the potential of geospatial mapping of emergency call data to improve ambulance services for older adults: a feasibility study in the South Central region of England 92%
- National statutory reporting: not even ticking the boxes? The quality of ‘Learning from Deaths’ reporting in Quality Accounts within the NHS in England 2017-2020 90%
"Similar papers" are the closest papers from that journal in the model's embedding space. They show what the match is built on, but the ranking comes mostly from a classifier over the whole training set, not from these examples alone.