Fig. 2.

A diagnostic model for impending death among patients with PPS ≤ 20% based on the EASED study (P3did-DT). A recursive partitioning model for impending death within 3 days in cancer patients who developed PPS ≤ 20% during admission at palliative care units. The entire dataset of 15 clinical signs of 1,396 patients were used for analyses. Clinical signs included in this model were: decreased level of consciousness (RASS ≤ −2), dysphagia of liquids, death rattle, respiration with mandibular movement, peripheral cyanosis, Cheyne-Stokes breathing, pulselessness of radial artery, decreased response to verbal stimuli, decreased response to visual stimuli, apnea periods, drooping of nasolabial fold, hyperextension of neck, inability to close eyelids, grunting of vocal cords, and decreased urine output. EASED, East-Asian cross-cultural collaborative Study to Elucidate the Dying process; P3did-DT, prediction of 3-day impending death-decision tree; PPS, Palliative Performance Scale; RASS, Richmond Agitation-Sedation Scale. Reference: Mori et al. Cancer Med. 2021;10:7988-95 [11].