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About Palliative Prognostic Index

The PPI predicts survival in terminally ill oncologic patients based on the score in the Palliative Performance Scale, and four other clinical symptoms: oral intake, oedema, dyspnea at rest and delirium:

Palliative Performance Scale: 10-20 (+4), 30-50 (+2.5),>60 (0);
Oral Intake: Severely Reduced (< mouthfuls) (+2.5), Moderately Reduced (> mouthfuls) (+1), Normal (0);
Oedema: Present (+1), Absent (0);
Dyspnea at rest: Present (+3.5), Absent (0);
Delirium: Present (+4), Absent (0).

The PPI can acceptably predict whether or not a patient will survive >3 or >6 weeks.

PPI results range from 0 to 15 with the indication that scores greater than 6.0 survival is less than three weeks (Sensitivity - 80%; Specificity - 85%).

The existence of concomitant diseases has not been taken into account in the building of the majority of survival prognostic scores, although acute concomitant diseases can impact scoring and survival.

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Frequently Asked Questions(FAQ)

What is the Palliative Prognostic Index (PPI)?

The PPI is a tool used to predict survival in terminally ill oncologic patients based on their score in the Palliative Performance Scale and four other clinical symptoms.

What factors are considered in the PPI?

The PPI considers the Palliative Performance Scale score, oral intake, oedema, dyspnea at rest, and delirium as clinical symptoms for predicting survival.

How is the Palliative Performance Scale scored?

The Palliative Performance Scale is scored based on a range of 10-20 (+4), 30-50 (+2.5), and >60 (0).

What are the scoring categories for oral intake?

Oral intake is scored as severely reduced (< mouthfuls) (+2.5), moderately reduced (> mouthfuls) (+1), or normal (0).

How is oedema scored in the PPI?

Oedema is scored as either present (+1) or absent (0) in the PPI.

What is the scoring for dyspnea at rest in the PPI?

Dyspnea at rest is scored as present (+3.5) or absent (0) in the PPI.

How is delirium scored in the PPI?

Delirium is scored as present (+4) or absent (0) in the PPI.

Can the PPI predict survival for more than 3 or 6 weeks?

Yes, the PPI can predict whether a patient will survive for more than 3 or 6 weeks.

What is the range of PPI scores?

PPI scores range from 0 to 15.

What does a PPI score greater than 6.0 indicate?

A PPI score greater than 6.0 indicates that survival is less than three weeks with a sensitivity of 80% and specificity of 85%.

Are concomitant diseases taken into account in the PPI?

No, the existence of concomitant diseases has not been considered in the majority of survival prognostic scores, although they can impact scoring and survival.