title: The palliative performance scale applied in high-care residential hospice: a retrospective study.
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.
  
  
  METHODS
  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.
authors.affiliation: 1 Department of Anesthesiology, VU University Medical Center , Amsterdam, The Netherlands .
authors.forename: Wim J J
authors.initials: WJ
authors.lastname: Jansen
authors.forename: Sannine
authors.initials: S
authors.lastname: Buma
authors.forename: Jaap R G
authors.initials: JR
authors.lastname: Gootjes
authors.forename: Wouter W A
authors.initials: WW
authors.lastname: Zuurmond
authors.forename: Roberto S G M
authors.initials: RS
authors.lastname: Perez
authors.forename: Stephan A
authors.initials: SA
authors.lastname: Loer
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004194:Disease / Q000145:classification; D004608:Eligibility Determination / Q000592:standards*; D005260:Female; D017051:Hospice Care / Q000458:organization & administration* / Q000706:statistics & numerical data*; D006801:Humans; D017567:Karnofsky Performance Status; D008297:Male; D008875:Middle Aged; D009864:Ontario; D010166:Palliative Care / Q000458:organization & administration* / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D016019:Survival Analysis; D013727:Terminal Care / Q000458:organization & administration / Q000706:statistics & numerical data*