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palliative general-medicine

CARING Criteria for Palliative Care Referral

5-item screen at hospital admission for 1-year mortality (Fischer 2006), used to trigger palliative-care referral. Each criterion present scores 1.

Score interpretation

Low 1-year mortality risk 0

→ Standard care. Re-screen at next admission.

Moderate risk — review 1

→ Consider palliative-care referral if symptom burden, complex decisions or care coordination needed.

High risk (≥2) — refer to palliative care 2–5

→ Activate palliative-care referral. Advance care planning / ReSPECT; preferred place of care; symptom optimisation; carer / family support; consider hospice referral. Sensitivity 89%, specificity 73% for 1-year mortality.

Interpretation bands for the CARING. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.