Palliative performance scale (PPS): A new tool

Palliative performance scale (PPS): A new tool
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DOI:
10.1177/082585979601200102
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发表时间:
1996-03-01
影响因子:
1.7
通讯作者:
Lerch, N
Lerch, N
中科院分区:
医学4区
文献类型:
--
作者:
Anderson, F;Downing, GM;Lerch, N

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姑息治疗表现量表(PPS)是Kamofsky表现量表的改进版,是姑息治疗中测量身体状况的一种新工具。它在维多利亚的最初用途包括沟通,家庭护理工作量的分析,分析收容所的入院和出院情况,以及可能的情况。我们评估了119例在家患者,其中87例(73%)的PPS评分在40%至70%之间。在213例入住临终关怀病房的患者中,175例(83%)在入院时PPS为20%-50%。129例在该单位死亡的患者的平均死亡时间为1.88天(10%PPS),20%为2.62天,30%为6.70天,40%为10.30天,50%为13.87天。只有两名患者在60%或更高的单位死亡。PPS可能成为比较家庭药物成本和研究治疗(例如皮下注射)对不同身体表现水平的影响的基础。目前正在进行有效性和可靠性测试。
The Palliative Performance Scale (PPS), a modification of the Kamofsky Performance Scale, is presented as a new tool for measurement of physical status in palliative care. Its initial uses in Victoria include communication, analysis of home nursing care workload, profiling admissions and discharges to the hospice unit, and, possibly, prognostication. We assessed 119 patients at home, of whom 87 (73%) had a PPS rating between 40% and 70%. Of 213 patients admitted to the hospice unit, 175 (83%) were PPS 20%-50% on admission. The average period until death for 129 patients who died on the unit was 1.88 days at 10% PPS upon admission, 2.62 days at 20%, 6.70 days at 30%, 10.30 days at 40%, 13.87 days at 50%. Only two patients at 60% or higher died in the unit. The PPS may become a basis for comparing drug costs at home and for studying the effects of treatments (e.g. hypodermoclysis) at various levels of physical performance. Validity and reliability testing are currently being undertaken.