Opi
Calc
BODE Index (Palliative context)
CAM-S (Confusion Assessment Method - Severity)
CPOT (Critical-Care Pain Observation Tool)
Death Rattle Scoring (Victoria)
Distress Thermometer
Edmonton Symptom Assessment System (ESAS-r)
FAST Scale (Dementia)
IPOS (Integrated Palliative Outcome Scale)
Memorial Symptom Assessment Scale (MSAS)
Menten Score
Morphine Equivalent Daily Dose (MEDD)
Nursing Delirium Screening Scale (Nu-DESC)
Opioid Risk Tool (ORT)
PAINAD Scale
Palliative Performance Scale (PPSv2)
Palliative Prognostic (PaP) Score
Palliative Prognostic Index (PPI)
Respiratory Distress Observation Scale (RDOS)
Richmond Agitation-Sedation Scale (RASS-PAL)
Seattle Heart Failure Model (SHFM)
e-PaP Score
Palliative Prognostic Index (PPI)
5-item score predicting survival duration in palliative care patients.
PPS Level
Select PPS...
100%
90%
80%
70%
60%
50%
40%
30%
20%
Oral intake reduced/minimal (2 pts)
Presence of edema (1 pt)
Dyspnea present (3 pts)
Delirium present (4 pts)
Calculate
Guidelines & Evidence
Clinical Details
Section 1
When to Use
When to Use
Prediction of survival duration in palliative care patients
Distinguishing patients likely to survive < 3 weeks vs. > 6 weeks
Informing family discussions about prognosis and goals of care
Guiding intensity of interventions in final weeks of life
Clinical Context
Five-item clinical predictor incorporating PPS, oral intake, edema, dyspnea, and delirium.
Section 2
Formula & Logic
Scoring Components
PPS < 40%
4 points
PPS 40–60%
2 points
Oral intake reduced/minimal
2 points
Presence of edema
1 point
Dyspnea present
3 points
Delirium present
4 points
Interpretation
Score < 5
Predicted survival > 6 weeks
Score 5–12
Predicted survival 3–6 weeks
Score > 12
Predicted survival < 3 weeks
Section 3
Pearls/Pitfalls
Key Advantages
Validated multi-country study
Simple clinical assessment; no labs required
Helpful for family conversations about realistic timelines
Known Limitations
Prognostication inherently uncertain; use as guide not rule
Less accurate for patients with very early palliative trajectory
Last Comprehensive Review: 2026
Related Palliative Care Tools
Palliative Performance Scale
Palliative Prognostic
e-PaP Score
Menten Score
Edmonton Symptom Assessment System
IPOS
Distress Thermometer
Memorial Symptom Assessment Scale
Morphine Equivalent Daily Dose
Opioid Risk Tool
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