The interRAI CHESS scale is comparable to the palliative performance scale in predicting 90-day mortality in a palliative home care population, BMC Palliative Care
Por um escritor misterioso
Last updated 05 junho 2024
Background Prognostic accuracy is important throughout all stages of the illness trajectory as it has implications for the timing of important conversations and decisions around care. Physicians often tend to over-estimate prognosis and may under-recognize palliative care (PC) needs. It is therefore essential that all relevant stakeholders have as much information available to them as possible when estimating prognosis. Aims The current study examined whether the interRAI Changes in Health, End-Stage Disease, Signs and Symptoms (CHESS) Scale is a good predictor of mortality in a known PC population and to see how it compares to the Palliative Performance Scale (PPS) in predicting 90-day mortality. Methods This retrospective cohort study used data from 2011 to 2018 on 80,261 unique individuals receiving palliative home care and assessed with both the interRAI Palliative Care instrument and the PPS. Logistic regression models were used to evaluate the relationship between the main outcome, 90-day mortality and were then replicated for a secondary outcome examining the number of nursing visits. Comparison of survival time was examined using Kaplan-Meier survival curves. Results The CHESS Scale was an acceptable predictor of 90-day mortality (c-statistic = 0.68; p < 0.0001) and was associated with the number of nursing days (c = 0.61; p < 0.0001) and had comparable performance to the PPS (c = 0.69; p < 0.0001). The CHESS Scale performed slightly better than the PPS in predicting 90-day mortality when combined with other interRAI PC items (c = 0.72; p < 0.0001). Conclusion The interRAI CHESS Scale is an additional decision-support tool available to clinicians that can be used alongside the PPS when estimating prognosis. This additional information can assist with the development of care plans, discussions, and referrals to specialist PC teams.
One Way Out? A Multistate Transition Model of Outcomes After Nursing Home Admission - Journal of the American Medical Directors Association
PPT - An introduction to the MDS (Minimum Data Set) Assessment Instrument for Medical Directors PowerPoint Presentation - ID:154373
Combined impairments in vision, hearing and cognition are associated with greater levels of functional and communication difficulties than cognitive impairment alone: Analysis of interRAI data for home care and long-term care recipients
Health-System-Performance-Comparison
Current Oncology, Free Full-Text
Predictive model of complexity in early palliative care: a cohort of advanced cancer patients (PALCOM study)
Prognostic predictors relevant to end-of-life palliative care in Parkinson's disease and related disorders: a systematic review
PDF) The interRAI CHESS scale is comparable to the palliative performance scale in predicting 90-day mortality in a palliative home care population
Palliative Performance Scale and survival in patients with cancer and non-cancer diagnoses needing a palliative care consultation: a retrospective cohort study, BMC Palliative Care
Predicting Survival with the Palliative Performance Scale in a Minority-Serving Hospice and Palliative Care Program - ScienceDirect
Shannon Freeman - Associate Professor, School of Nursing - University of Northern British Columbia (UNBC)
PDF] Using the Palliative Performance Scale to provide meaningful survival estimates.
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