Validation of a Palliative Prognostic Index to Predict Life Expectancy for Terminally Ill Cancer Patients in a Hospice Consultation Setting in Taiwan
Validation of a Palliative Prognostic Index to Predict Life Expectancy for Terminally Ill Cancer Patients in a Hospice Consultation Setting in Taiwan
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DOI：
10.7314/apjcp.2012.13.6.2861
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发表时间：
2012-01-01
影响因子：
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通讯作者：
Chou, Wen-Chi
中科院分区：
文献类型：
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作者：
Cheng, Wei-Hong;Kao, Chen-Yi;Chou, Wen-Chi
背景资料：本研究的目的是评估姑息预后指数（PPI）作为一种预后工具，在台湾的临终关怀咨询设置的护理专家使用的实用性。研究方法：本研究于2011年1月1日至6月30日期间，在台湾北方某医学中心共招募了623名接受临终关怀咨询的晚期癌症患者。PPI由护士专家在第一次临终关怀咨询时进行评估，患者按预后（良好、中等、差）分组。回顾性分析患者生存率以确定组间差异的显著性。结果如下：PPI总分判断预后良好组占37.2%，中等预后组占18%，预后不良组占44.8%。死亡率分别为56%、81.2%和89.6%，中位生存期分别为76、18和7天。风险比为0.19（95%置信区间[CI] 0.10-0.24，p
Background: The aim of our study was to assess the practical utility of the palliative prognostic index (PPI) as a prognostic tool used by nurse specialists in a hospice consultation setting in Taiwan. Methods: In total, 623 terminal cancer patients under hospice consultation care from one medical center in northern Taiwan were enrolled between January 1 and June 30, 2011. PPI was assessed by a nurse specialist at first hospice consultation and patients categorized into groups by prognosis (good, intermediate, poor). Patient survival was analyzed retrospectively to determine significance of between-group differences. Results: By PPI sum score, 37.2% of patients were in the good prognosis group, 18% in the intermediate prognosis group and 44.8% in the poor prognosis group. The death rates were 56%, 81.2% and 89.6% and median survivals were 76, 18 and 7 days, respectively. The hazard ratio was 0.19 (95% confidence interval [CI] 0.10-0.24, p