Analysis of the Perroca Scale in Palliative Care Unit

Between 2008 and 2016, the total of 2,486 patients were hospitalized, and their median length of hospital stay was 12 days. Of these patients, 1,568 had at least one Perroca scale evaluation. Nine hundred and ten patients (58%) were classified as minimal or intermediate care. Of these, 602 (66%) were discharged. As semi-intensive and intensive care were classified 658 (42%) patients, of whom 64% died and only 36% were discharged.

Conclusion

The Perroca scale is a tool to identify patients with greater need for care and the possible prognosis for hospitalized patients.

DESCRIPTORS
Palliative Care; Oncology Nursing; Patient Discharge; Disease Management; Nursing Assessment

Indicators	Score
1 – Mental Status and Level of Consciousness	1	2	3	4	5
2 – Oxygenation	1	2	3	4	5
3 – Vital Signs	1	2	3	4	5
4 – Nutrition and Hydration	1	2	3	4	5
5 – Motility	1	2	3	4	5
6 – Locomotion	1	2	3	4	5
7 – Body Care	1	2	3	4	5
8 – Eliminations	1	2	3	4	5
9 – Therapy	1	2	3	4	5
10 – Health Education	1	2	3	4	5
11 – Behavior	1	2	3	4	5
12 – Communication	1	2	3	4	5
13 – Cutaneous-Mucous Integrity	1	2	3	4	5
Score is the sum of points attributed to indicators
Minimal Care	13 to 26
Intermediate Care	27 to 39
Semi-intensive Care	40 to 52
Intensive Care	53 to 65

Variables	N = 1,568 patients
Age (years)	62.5 ± 13.3
Gender
Female	808 (51.5%)
Male	760 (48.5%)
Length of hospital stay (days)	12. (8-18)¹ 1 Median and percentiles.
Outcome
Death	730 (46.5%)
Discharge	838 (53.4%)

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Cledy Eliana dos Santos, Hospital Nossa Senhora da Conceição, Serviço de Dor e Cuidados Paliativos, Av. Francisco Trein, 596 CEP 91350-200 – Porto Alegre, RS, Brazil cledy.eliana@gmail.com