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 22 março 2025

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.

Using the palliative performance scale to increase goals of care conversations

Adverse Events in Home Care: Identifying and Responding with interRAI Scales and Clinical Assessment Protocols, Canadian Journal on Aging / La Revue canadienne du vieillissement

Integration of Palliative Care Into Standard Oncology Care: American Society of Clinical Oncology Clinical Practice Guideline Update

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

Use of the Palliative Performance Scale to estimate survival among home hospice patients with heart failure - Masterson Creber - 2019 - ESC Heart Failure - Wiley Online Library

Medical State of Mind — The Palliative Performance Score is an 11-point

Psychotropic Medication Use and Mortality in Long-Term Care Residents

The Association of Long-Term Opioid Use With Health Care and Home Care Service Use Among Aged Home Care Clients - Journal of the American Medical Directors Association

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

SciELO - Brasil - Evaluation of quality of life in a palliative care context: an integrative literature review Evaluation of quality of life in a palliative care context: an integrative literature review

Correlation of Palliative Performance Scale and Survival in Patients With Cancer Receiving Home-Based Palliative Care - Jiaoli Cai, Denise N. Guerriere, Hongzhong Zhao, Peter C. Coyte, 2018
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