Palliative Prognostic Index (PPI)

Palliative Prognostic Index (PPI, 0–15) from the Palliative Performance Scale band, oral intake, edema, dyspnea at rest, and delirium; > 6 predicts survival under 3 weeks.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Palliative Performance Scale band
PPS 10–20 (4)
Oral intake
Mouthfuls or less (2.5)
Delirium
Yes

Result: PPI 10.5/15 — predicts survival under 3 weeks.

The tool opens with these values already filled in. Replace them with your own.

What the result means

Survival
PPI > 6 predicts survival under 3 weeks; > 4 under 6 weeks; ≤ 4 beyond 6 weeks.

What you enter

  • Palliative Performance Scale band (high ≥ 60 / mid 30–50 / low 10–20)
  • Oral intake
  • Edema (+1)
  • Dyspnea at rest (+3.5)
  • Delirium (+4)
How this is calculated
Components
PPS band (≥60 →0, 30–50 →2.5, 10–20 →4) + oral intake (normal 0, moderate 1, mouthfuls 2.5) + edema 1 + dyspnea at rest 3.5 + delirium 4 (single-medication delirium excluded), max 15.

Morita T, Tsunoda J, Inoue S, Chihara S. The Palliative Prognostic Index: a scoring system for survival prediction of terminally ill cancer patients. Support Care Cancer. 1999;7(3):128-133. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.