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Karnofsky performance index (palliative performance scale)
A performance scale for rating a person's usual activities.
Indications:
1) evaluate a patient's progress after a therapeutic procedure
2) assess prognosis in terminally ill patients
Procedure:
Performance status:
100: normal; no complaints; no evidence of disease
90: able to carry on normal activity; minor signs or symptoms of disease
80: normal activity with effort; some signs or symptoms of disease
70: cares for self; unable to carry on normal activity or do active work
60: requires occasional assistance, but is able to care for most needs
50: requires considerable assistance & frequent medical care
40: disabled; requires special care & assistance
30: severely disabled; hospitalization is indicated although death is not imminent
20: very sick; hospitalization necessary; active support treatment is necessary
10: moribund; fatal processes progressing rapidly
0: dead
General
performance scale
index
functional assessment
References
- Harrison's Principles of Internal Medicine, 14th ed.
Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 495
- Medical Guidelines for Determining Prognosis in non-Cancer
Diseases, 2nd edition, Stuart et al (eds), National Hospice
Organization, Arlington, VA, 1996
- Lau F et al
Use of Palliative Performance Scale in end-of-life
prognostication.
J Palliat Med. 2006 Oct;9(5):1066-75.
PMID: 17040144