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1121 Clinical Tools

AKPS — Australia-modified Karnofsky Performance Status 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

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e-PaP Score

e-PaP Score: Electronic version using objective lab parameters instead of clinical gestalt for 30-day mortality prediction.

Karnofsky Performance Status

Anorexia Present?

Dyspnea Present?

WBC Count (×10⁹/L)

> 8.5 = 1 pt

Lymphocyte Percentage (%)

< 20% = 1 pt

Guidelines & Evidence

Clinical Details

Section 1

When to Use

When to Use

Objective prediction of 30-day mortality replacing clinical gestalt

Reduction of subjective bias in prognostication

Electronic health record integration for automated assessment

Standardized prognostic communication in multidisciplinary teams

Section 2

Formula & Logic

Key Innovation

Replaces the clinical gestalt component of the original PaP score with objective laboratory and clinical parameters to improve reproducibility and reduce observer bias.

Section 3

Pearls/Pitfalls

Key Advantages

Objective; reduces inter-rater variability

Easily implemented in EHR systems

Maintains predictive accuracy of original PaP

Last Comprehensive Review: 2026

Related Palliative Care Tools

AKPS — Australia-modified Karnofsky Performance Status

Death Rattle Scoring

Distress Thermometer

Edmonton Symptom Assessment System

Memorial Symptom Assessment Scale

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