The interRAI CHESS scale is comparable to the palliative performance scale in predicting 90-day mortality in a palliative home care population, BMC Palliative Care

Background Prognostic accuracy is important throughout all stages of the illness trajectory as it has implications for the timing of important conversations and decisions around care. Physicians often tend to over-estimate prognosis and may under-recognize palliative care (PC) needs. It is therefore essential that all relevant stakeholders have as much information available to them as possible when estimating prognosis. Aims The current study examined whether the interRAI Changes in Health, End-Stage Disease, Signs and Symptoms (CHESS) Scale is a good predictor of mortality in a known PC population and to see how it compares to the Palliative Performance Scale (PPS) in predicting 90-day mortality. Methods This retrospective cohort study used data from 2011 to 2018 on 80,261 unique individuals receiving palliative home care and assessed with both the interRAI Palliative Care instrument and the PPS. Logistic regression models were used to evaluate the relationship between the main outcome, 90-day mortality and were then replicated for a secondary outcome examining the number of nursing visits. Comparison of survival time was examined using Kaplan-Meier survival curves. Results The CHESS Scale was an acceptable predictor of 90-day mortality (c-statistic = 0.68; p < 0.0001) and was associated with the number of nursing days (c = 0.61; p < 0.0001) and had comparable performance to the PPS (c = 0.69; p < 0.0001). The CHESS Scale performed slightly better than the PPS in predicting 90-day mortality when combined with other interRAI PC items (c = 0.72; p < 0.0001). Conclusion The interRAI CHESS Scale is an additional decision-support tool available to clinicians that can be used alongside the PPS when estimating prognosis. This additional information can assist with the development of care plans, discussions, and referrals to specialist PC teams.

Use of the Palliative Performance Scale to estimate survival among home hospice patients with heart failure - Masterson Creber - 2019 - ESC Heart Failure - Wiley Online Library

Baseline Frailty as a Predictor of Survival After Critical Care - CHEST

Combined impairments in vision, hearing and cognition are associated with greater levels of functional and communication difficulties than cognitive impairment alone: Analysis of interRAI data for home care and long-term care recipients

Anja Declercq - LUCAS - Centrum voor Zorgonderzoek & Consultancy

PDF] Usefulness, feasibility and face validity of the interRAI Palliative Care instrument according to care professionals in nursing homes: A qualitative study.

Improving palliative care with deep learning, BMC Medical Informatics and Decision Making

Changes in the palliative performance scale may be as important as the initial palliative performance scale for predicting survival in terminal cancer patients, Palliative & Supportive Care

Current Oncology, Free Full-Text

PPT - An introduction to the MDS (Minimum Data Set) Assessment Instrument for Medical Directors PowerPoint Presentation - ID:154373

Factors Associated With Terminally Ill People Who Want to Die - ScienceDirect

Shannon Freeman - Associate Professor, School of Nursing - University of Northern British Columbia (UNBC)