Tscherny Katharina, Grafeneder Juergen, Wandl Bettina, Niederer Maximilian, Haider Martina, Masel Eva Katharina, Roth Dominik, Egger Alexander
Department of Anesthesiology and Intensive Care Medicine, Hospital Scheibbs, Eisenwurzenstraße 26, 3270, Scheibbs, Austria.
Department of Emergency Medicine, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.
Wien Klin Wochenschr. 2025 Jun;137(11-12):335-341. doi: 10.1007/s00508-025-02553-3. Epub 2025 May 31.
A standardized assessment of symptoms is essential for individualized palliative care (PC). While numerous tools exist, many are too complex for daily clinical use.
The PERSON score was developed as a brief and practical tool to assess symptom burden in PC. This study aimed to evaluate its feasibility in a rural hospital setting, although it did not include formal feasibility metrics such as recruitment or adherence rates.
Patients admitted to the palliative care unit of a rural hospital were assessed using the PERSON score, which includes seven items: pain, eating, rehabilitation, social situation, suffering, oxygen/dyspnea, and nausea/emesis. Each item is scored from 0 to 10, with higher scores indicating greater burden. Assessments were conducted on admission, after 7 days, and at discharge. Symptom scores were analyzed for change over time.
Of 60 admitted patients, 40 met the inclusion criteria. Reassessment was possible in 35 patients after 7 days and in 31 patients at discharge. The mean PERSON score decreased from 28 (SD 12) on admission to 21 (SD 11) after 7 days (difference: 7, 95% confidence interval, CI: 3-11, p = 0.002), and to 17 (SD 10) at discharge (difference: 11, 95% CI: 6-15, p < 0.001).
The PERSON score was feasible to implement and enabled consistent symptom monitoring. Its use may support structured clinical assessment and targeted symptom management even in smaller or rural palliative care units.
症状的标准化评估对于个体化姑息治疗（PC）至关重要。虽然有许多工具可用，但许多工具对于日常临床使用来说过于复杂。
开发PERSON评分作为评估姑息治疗中症状负担的一种简短实用工具。本研究旨在评估其在农村医院环境中的可行性，尽管它没有包括诸如招募率或依从率等正式的可行性指标。
使用PERSON评分对一家农村医院姑息治疗科收治的患者进行评估，该评分包括七个项目：疼痛、饮食、康复、社会状况、痛苦、氧气/呼吸困难和恶心/呕吐。每个项目的评分从0到10分，分数越高表明负担越重。在入院时、7天后和出院时进行评估。分析症状评分随时间的变化。
60名入院患者中，40名符合纳入标准。7天后35名患者可进行重新评估，出院时31名患者可进行重新评估。PERSON评分均值从入院时的28（标准差12）降至7天后的21（标准差11）（差值：7，95%置信区间[CI]：3 - 11，p = 0.002），出院时降至17（标准差10）（差值：11，95% CI：6 - 15，p < 0.001）。
PERSON评分实施起来可行，并能实现一致的症状监测。即使在较小的或农村的姑息治疗科室，其使用也可能有助于结构化临床评估和针对性的症状管理。
