Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Palliative Prognostic Index (PPI)
The PPI relies on the assessment of performance status using the Palliative Performance Scale (PPS, oral intake, and the presence or absence of dyspnea, edema, and delirium.
 
Performance status/Symptoms
Partial score
Palliative Performance Scale
 
10–20
4
30–50
2.5
>60
0
Oral Intake
 
Mouthfuls or less
2.5
Reduced but more than mouthfuls
1
Normal
0
Edema
 
Present
1
Absent
0
Dyspnea at rest
 
Present
3.5
Absent
0
Delirium
 
Present
4
Absent
0
 
Scoring
PPI score > 6 = survival shorter than 3 weeks
PPI score >4 = survival shorter than 6 weeks
PPI score ≤4 = survival more than 6weeks
 
 
Reprinted from Journal of Pain and Symptom Management, Vol. 35, No. 6, Stone, C., Tierman, E., & Dooley, B., Prospective Validation of the Palliative Prognostic Index in Patients with Cancer, 617–622, Copyright (2008), with permission from Elsevier.