The Palliative Performance Scale predicts mortality in hospitalized patients with COVID-19

Palliative Medicine
Michele FiorentinoNina E Glass

Abstract

Coronavirus disease 2019 (COVID-19) has a substantial mortality risk with increased rates in the elderly. We hypothesized that age is not sufficient, and that frailty measured by preadmission Palliative Performance Scale would be a predictor of outcomes. Improved ability to identify high-risk patients will improve clinicians' ability to provide appropriate palliative care, including engaging in shared decision-making about life-sustaining therapies. To evaluate whether preadmission Palliative Performance Scale predicts mortality in hospitalized patients with COVID-19. Retrospective observational cohort study of patients admitted with COVID-19. Palliative Performance Scale was calculated from the chart. Using logistic regression, Palliative Performance Scale was assessed as a predictor of mortality controlling for demographics, comorbidities, palliative care measures and socioeconomic status. Patients older than 18 years of age admitted with COVID-19 to a single urban public hospital in New Jersey, USA. Of 443 admitted patients, we determined the Palliative Performance Scale score for 374. Overall mortality was 31% and 81% in intubated patients. In all, 36% (134) of patients had a low Palliative Performance Scale score. Compared...Continue Reading

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Citations

Jan 12, 2021·Palliative Medicine·Catherine Walshe
Feb 10, 2021·Medical Sciences : Open Access Journal·Kenneth F BakerChristopher J A Duncan
May 29, 2021·Journal of the American Geriatrics Society·Flavia DumitrascuDaniel I McIsaac

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