69 PCN Prognosis Assessment PALIAR

  • 6 month mortality % for patients with Advanced Chronic Medical Conditions:
    • Chronic heart failure, NYHA III-IV
    • Chronic lung failure, dyspnea stage 3+, sat <90% RA or chronic O2
    • Chronic renal failure, GFR<30, creat 3 or greater
    • Chronic liver failure, Child-Pugh > 7
    • Chronic neurologic disease with cognitive impairment (18 or less MMSE) or functional impairment (Barthel Index < 60)
Characteristics PALIAR Score
85 years old or more 3
Anorexia 3.5
Dyspnea at rest 3.5
Pressure ulcer(s) 3
Serum albumin < 2.5 4
ECOG 3 or more 4

0-21 points


Correlation with observed mortality(% in 6 months):
Points % mortality 6 months
0 21
3 25
3.5 37
4 39
6-6.5 43
7-7.5 47
8-10.5 65
11-21 67

License

Icon for the Creative Commons Attribution-NonCommercial 4.0 International License

Reference Notes for Palliative Care Consultation Copyright © 2018 by Robert F. Johnson MD, MEd is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, except where otherwise noted.

Share This Book