Palliative Prognostic Index (PPI): Clinical Guide

Clinical guide to Palliative Prognostic Index (PPI) including calculation, interpretation, assumptions, limitations and references.

Estimates short-term survival in advanced illness using PPS, oral intake, oedema, dyspnoea at rest and delirium.

Overview

Estimates short-term survival in advanced illness using PPS, oral intake, oedema, dyspnoea at rest and delirium.

Clinical Significance

In the original study, PPI >6 predicted survival under 3 weeks and PPI >4 predicted survival under 6 weeks; use alongside clinical judgement.

When to Use

  • Use as structured clinical decision support when the required data are available and reliable.

How It Is Calculated

  • The displayed variables are combined using the published equation or weighted point system.

Interpretation

  • In the original study, PPI >6 predicted survival under 3 weeks and PPI >4 predicted survival under 6 weeks; use alongside clinical judgement.

Worked Example

Enter verified patient data in the displayed units; MedicalC applies the published equation or point system.

Limitations

  • Classification and prognostic tools can be misapplied outside their validated population.
  • Missing, estimated or non-contemporaneous data may materially change the result.

Clinical Pearls

  • Document the input values, units, date and clinical setting with the result.
  • Use serial scores only when the same instrument and measurement method are used consistently.

Common Mistakes

  • Using the tool without confirming entry criteria.
  • Selecting overlapping findings that should be represented by the highest-scoring item only.
  • Treating a classification threshold as a standalone diagnosis.

Frequently Asked Questions

What does this tool calculate?

Estimates short-term survival in advanced illness using PPS, oral intake, oedema, dyspnoea at rest and delirium.

Can this result be used alone?

No. Interpret it with the complete clinical assessment, applicable entry criteria and current guidance.

References

  1. Morita T et al. Support Care Cancer. 1999;7:128-133. — Primary or supporting reference for the implemented model.

Reviewed by: MedicalC Clinical Editorial Team
Last reviewed: July 2026

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