ICU sedation, delirium & recovery
Palliative prognostic tools in surgical patients at the end of life: a systematic review
Authors' conclusion
Palliative prognostic tools have significant potential for incorporation into preoperative assessment.
Study context
- Population
- Adult surgical patients assessed with palliative prognostic tools (PPTs)7 studies · 4 PPTs
- Outcome
- Decision to proceed to surgery
Methodological detailsprospectively registered, narrative synthesis, Results synthesised narratively owing to study heterogeneity
- Prospectively registered
- Narrative synthesis
- Results synthesised narratively owing to study heterogeneity
Pooled result
As reported in the abstract
- Impact of PPTs on decisions to proceed to surgery uncertain because of conflicting results
Further pooled results
Proportion of surgical patients at the end of life (EOL)
- Surgical patients at the EOL
- 12-61%
In-hospital and 12-month mortality
- Increased in-hospital and 12-month mortality in patients identified at the EOL by a PPT using an illness phase, trajectory approach, or both
Palliative care referral and EOL document completion
- Palliative care referral and EOL document completion in surgical patients at the EOL
- <15%
Patient-reported outcomes
- No studies described patient-reported outcomes
Original publication
Palliative prognostic tools in surgical patients at the end of life: a systematic review. Br J Anaesth. Published 23 April 2025. doi:10.
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