Use of the Palliative Performance Scale to estimate survival among home hospice patients with heart failure.
End-of-life care
Heart failure
Hospice
Palliative care
Palliative performance scale
Prognosis
Journal
ESC heart failure
ISSN: 2055-5822
Titre abrégé: ESC Heart Fail
Pays: England
ID NLM: 101669191
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
20
07
2018
accepted:
23
11
2018
pubmed:
6
3
2019
medline:
17
5
2019
entrez:
6
3
2019
Statut:
ppublish
Résumé
Estimating survival is challenging in the terminal phase of advanced heart failure. Patients, families, and health-care organizations would benefit from more reliable prognostic tools. The Palliative Performance Scale Version 2 (PPSv2) is a reliable and validated tool used to measure functional performance; higher scores indicate higher functionality. It has been widely used to estimate survival in patients with cancer but rarely used in patients with heart failure. The aim of this study was to identify prognostic cut-points of the PPSv2 for predicting survival among patients with heart failure receiving home hospice care. This retrospective cohort study included 1114 adult patients with a primary diagnosis of heart failure from a not-for-profit hospice agency between January 2013 and May 2017. The primary outcome was survival time. A Cox proportional-hazards model and sensitivity analyses were used to examine the association between PPSv2 scores and survival time, controlling for demographic and clinical variables. Receiver operating characteristic curves were plotted to quantify the diagnostic performance of PPSv2 scores by survival time. Lower PPSv2 scores on admission to hospice were associated with decreased median (interquartile range, IQR) survival time [PPSv2 10 = 2 IQR: 1-5 days; PPSv2 20 = 3 IQR: 2-8 days] IQR: 55-207. The discrimination of the PPSv2 at baseline for predicting death was highest at 7 days [area under the curve (AUC) = 0.802], followed by an AUC of 0.774 at 14 days, an AUC of 0.736 at 30 days, and an AUC of 0.705 at 90 days. The PPSv2 tool can be used by health-care providers for prognostication of hospice-enrolled patients with heart failure who are at high risk of near-term death. It has the greatest utility in patients who have the most functional impairment.
Identifiants
pubmed: 30835970
doi: 10.1002/ehf2.12398
pmc: PMC6437549
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
371-378Subventions
Organisme : NINR NIH HHS
ID : R00 NR016275
Pays : United States
Organisme : NINR NIH HHS
ID : T32 NR007969
Pays : United States
Organisme : NINR NIH HHS
ID : T32NR007969
Pays : United States
Organisme : NINR NIH HHS
ID : R00NR016275
Pays : United States
Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2019 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.
Références
Palliat Med. 2007 Mar;21(2):95-9
pubmed: 17344257
J Palliat Care. 1996 Spring;12(1):5-11
pubmed: 8857241
Circ Heart Fail. 2013 Sep 1;6(5):881-9
pubmed: 23888045
BMJ. 2000 Feb 19;320(7233):469-72
pubmed: 10678857
Circulation. 2006 Mar 21;113(11):1424-33
pubmed: 16534009
Circulation. 2012 Apr 17;125(15):1928-52
pubmed: 22392529
J Palliat Med. 2005 Jun;8(3):503-9
pubmed: 15992191
J Palliat Med. 2015 Jan;18(1):67-70
pubmed: 25122510
J Palliat Med. 2010 May;13(5):549-57
pubmed: 20377498
Eur Heart J. 2013 May;34(19):1404-13
pubmed: 23095984
J Pain Symptom Manage. 2009 Apr;37(4):642-8
pubmed: 18823751
J Pain Symptom Manage. 2009 Jun;37(6):965-72
pubmed: 19232892
J Palliat Care. 2007 Winter;23(4):245-52; discussion 252-4
pubmed: 18251442
J Pain Symptom Manage. 2009 Jul;38(1):134-44
pubmed: 19171459
ESC Heart Fail. 2019 Apr;6(2):371-378
pubmed: 30835970
Am J Cardiol. 2007 Aug 15;100(4):697-700
pubmed: 17697831
Curr Opin Cardiol. 2018 Mar;33(2):202-207
pubmed: 29135524
Ann Intern Med. 2007 Oct 16;147(8):573-7
pubmed: 17938396
JAMA Cardiol. 2017 Apr 1;2(4):435-441
pubmed: 28002546
Am J Surg. 2017 Apr;213(4):778-784
pubmed: 28160967
Curr Cardiol Rev. 2018;14(2):128-137
pubmed: 29366424
Palliat Med. 2016 Jul;30(7):684-9
pubmed: 26769732
Palliat Med. 2013 Apr;27(4):367-74
pubmed: 22760474
Med Care. 2005 Nov;43(11):1130-9
pubmed: 16224307
J Palliat Med. 2014 Aug;17(8):894-8
pubmed: 24922330
J Palliat Med. 2018 Nov;21(11):1651-1661
pubmed: 30129809
Circulation. 2018 Mar 20;137(12):e67-e492
pubmed: 29386200
BMC Palliat Care. 2008 Aug 04;7:10
pubmed: 18680590
Palliat Med. 2018 Oct 1;:269216318804456
pubmed: 30269647
J Pain Symptom Manage. 2017 May;53(5):962-970.e10
pubmed: 28062344