<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
<article xlink="http://www.w3.org/1999/xlink" dtd-version="1.0" article-type="palliative-medicine" lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="publisher">JOHS</journal-id>
<journal-id journal-id-type="nlm-ta">Journ of Health Scien</journal-id>
<journal-title-group>
<journal-title>Journal of HealthCare Sciences</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Journ of Health Scien</abbrev-journal-title>
</journal-title-group>
<issn pub-type="ppub">2231-2196</issn>
<issn pub-type="opub">0975-5241</issn>
<publisher>
<publisher-name>Radiance Research Academy</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">352</article-id>
<article-id pub-id-type="doi">http://dx.doi.org/10.52533/JOHS.2024.41231</article-id>
<article-id pub-id-type="doi-url"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Palliative Medicine</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>The Predictive Role of Modified Early Warning Score and Palliative Performance Scale in Imminent Death Diagnosis in a Palliative Care Setting Among Adult Advanced Cancer Patients: A Retrospective Cohort Study
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tashkandi</surname>
<given-names>Dalal Khaled</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bokhari</surname>
<given-names>Waleed Abdullah</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Justaniah</surname>
<given-names>Nisreen A.</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Alshehri</surname>
<given-names>Waleed Saad</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Almalky</surname>
<given-names>Nawwaf Abdullah</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hemeq</surname>
<given-names>Yousef Hassan</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Khan</surname>
<given-names>Muhammad Anwar</given-names>
</name>
</contrib>
</contrib-group>
<pub-date pub-type="ppub">
<day>26</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>4</volume>
<issue>12</issue>
<fpage>884</fpage>
<lpage>897</lpage>
<permissions>
<copyright-statement>This article is copyright of Popeye Publishing, 2009</copyright-statement>
<copyright-year>2009</copyright-year>
<license license-type="open-access" href="http://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution (CC BY 4.0) Licence. You may share and adapt the material, but must give appropriate credit to the source, provide a link to the licence, and indicate if changes were made.</license-p>
</license>
</permissions>
<abstract>
<p>Background: Palliative care is vital for advanced cancer patients nearing end-of-life. Accurately predicting imminence of death is key for effective care planning. Hence, complementing clinical predictions with prognostic tools, such as Palliative Performance Scale (PPS) and Modified Early Warning Score (MEWS), produces more accurate predictions of life expectancy. This study evaluated the PPS and MEWS for predicting imminence of death in a Saudi Arabian palliative care setting, aiming to enhance hospital policies and patient care.
Methods: A retrospective cohort study at Princess Noura Oncology Center in Jeddah, Saudi Arabia, analyzed adult patients with advanced cancer who received palliative care between January 1, 2019, and December 31, 2021. Data from the institutional database were analyzed using SPSS version 26 to evaluate the prognostic efficacy of the MEWS and the PPS in predicting imminent death.
Results: Among the 406 patients with advanced cancer, 73.6% had stable physiological parameters (MEWS < 4), and 95.8% had a PPS of 40 or lower, indicating poor functional status. The PPS was a strong predictor of imminent death, with scores of 40 or lower significantly linked to a higher risk (p < 0.05), while scores above 40 were associated with a significantly reduced risk (p < 0.05). The MEWS, however, did not show a statistically significant correlation with imminent death (p > 0.05).
Conclusion: While MEWS lacked predictive value for imminent death, PPS effectively identified high-risk patients. This study underscores the importance of comprehensive tools like PPS in palliative care to enhance clinical policies and patient care.
</p>
</abstract>
<kwd-group>
<kwd>Palliative Care</kwd>
<kwd> Advanced Cancer</kwd>
<kwd> Prognostic Tools</kwd>
<kwd> Modified Early Warning Score (MEWS)</kwd>
<kwd> Palliative Performance Scale (PPS)</kwd>
</kwd-group>
</article-meta>
</front>
</article>