Palliative Prognostic Index (PPI)
Predicts survival in advanced cancer patients (Morita 1999). Sums 5 weighted clinical variables. PPI >6 predicts <3 weeks survival; >4 predicts <6 weeks (sensitivity ~80%, specificity ~85%).
Score interpretation
→ Continue current palliative plan. Reassess if clinical change. Discuss preferred place of care.
→ Activate end-of-life pathway: ReSPECT / advance care plan complete; anticipatory medications prescribed; family meeting; consider hospice referral.
→ Last-days-of-life care: stop non-essential medications, anticipatory subcutaneous PRN (morphine, midazolam, glycopyrronium, levomepromazine); spiritual / family support; bereavement planning.
Interpretation bands for the PPI. 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.