Disusun Oleh : ROSEANE MARIA dan VIDIANKA REMBULAN
The Karnofsky Performance Scale Index allows patients to be classified as to
their functional impairment. This can be used to compare effectiveness of
different therapies and to assess the prognosis in individual patients. The
lower the Karnofsky score, the worse the survival for most serious illnesses.
KARNOFSKY PERFORMANCE STATUS SCALE
DEFINITIONS RATING (%) CRITERIA
Able to carry on normal activity and to
work; no special care needed.
Unable to work; able to live at home
and care for most personal needs;
varying amount of assistance needed.
Unable to care for self; requires
equivalent of institutional or hospital
care; disease may be progressing
rapidly.
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 to do
active work.
60
Requires occasional assistance,
but is able to care for most of
his personal needs.
50
Requires considerable
assistance and frequent
medical care.
40
Disabled; requires special care
and assistance.
30
Severely disabled; hospital
admission is indicated
although death not imminent.
20
Very sick; hospital admission
necessary; active supportive
treatment necessary.
10
Moribund; fatal processes
progressing rapidly.
Dead
References:
Crooks, V, Waller S, et al. The use of the Karnofsky Performance Scale in
determining outcomes and risk in geriatric outpatients. J Gerontol. 1991; 46:
M139-M144.
de Haan R, Aaronson A, et al. Measuring quality of life in stroke. Stroke.
1993; 24:320- 327.
Hollen PJ, Gralla RJ, et al. Measurement of quality of life in patients with
lung cancer in multicenter trials of new therapies. Cancer. 1994; 73: 20872098.
O'Toole DM, Golden AM. Evaluating cancer patients for rehabilitation
potential. West J Med. 1991; 155:384-387.
Oxford Textbook of Palliative Medicine, Oxford University Press. 1993;109.
Schag CC, Heinrich RL, Ganz PA. Karnofsky performance status revisited:
Reliability, validity, and guidelines. J Clin Oncology. 1984; 2:187-193.