Should the Surprise Question be Used as a Prognostic Tool for People With Life-limiting Illnesses?

Chu, Christina; Engels, Yvonne; Suh, Sang-Yeon; Kim, Sun Hyun; White, Nicola

doi:10.1016/j.jpainsymman.2023.05.003

Cited by 4 publications

(1 citation statement)

References 26 publications

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“…A systematic review and meta-analysis concluded that the surprise question performs with varying degrees of accuracy as a predictive tool for death, with its performance being less reliable in noncancer illnesses (Downar et al, 2017). Despite its simplicity, palliative care experts have noted inconsistencies in the prognostic capabilities of the surprise question (Chu et al, 2023;Davis et al, 2023).…”

Section: The Palliative Care Rapid Emergency Screening Toolmentioning

confidence: 99%

Prognostication Tools in Older Hospitalized Adults for Identification of Patients with Potential Palliative Care Needs: A Review of Three Instruments

Hagiwara

2024

Illness, Crisis & Loss

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This paper explores the critical role of prognostication tools in identifying high-risk hospitalized older adults who may benefit from palliative care. With an ageing population and increasing prevalence of chronic illnesses, the demand for patient-centered healthcare is paramount. The study evaluates three key tools—the Palliative Performance Scale, CARING criteria, and Palliative Care Rapid Emergency Screening tool. Each tool is analyzed for its psychometric properties, advantages, and limitations. Despite their strengths and limitations, these tools emerge as crucial screening tools for identifying older adults at heightened mortality risk within one year of hospital admission. Our paper calls for ongoing research to adapt and validate existing tools, ensuring their applicability across diverse clinical settings and patient populations.

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Section: The Palliative Care Rapid Emergency Screening Toolmentioning

confidence: 99%

Prognostication Tools in Older Hospitalized Adults for Identification of Patients with Potential Palliative Care Needs: A Review of Three Instruments

Hagiwara

2024

Illness, Crisis & Loss

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Evaluating the Utility of the Surprise Question Among General Physicians for Appropriate Palliative Care Indication in Brazil

Borges,

Dias

2024

Palliative Medicine Reports

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Advance care planning for patient with chronic obstructive pulmonary disease: An evolutionary concept analysis

Minami,

Kamei

2024

Japan Journal Nursing Sci

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AimThis study aimed to analyze the concept of advance care planning (ACP) for patients with chronic obstructive pulmonary disease (COPD), by systematically clarifying the attributes, antecedents, consequences, surrogate terms, related concepts, and historical transition of the concept.MethodsFollowing Rodgers' method of concept analysis, the academic development of concepts related to ACP for patients with COPD, as well as changes in the concept over time, is comprehensively organized and described. A search formula for relevant literature was created using the two keywords “chronic obstructive pulmonary disease” and “advance care planning”. The databases of CENTRAL, PubMed, CINAHL Plus with Full Text, Embase, and PsycInfo were searched without limitation by the year of publication and restricted to English and Japanese languages.ResultsOf the 3433 retrieved articles, 30 peer‐reviewed articles were included in the analysis. Data extraction was conducted to identify concepts relevant to ACP for patients with COPD, resulting in the identification of four antecedents (COPD progression, decline in QOL, attitude toward facing death and dying, and interdisciplinary team approach); four attributes (discussion process, documentation, support for facing death, and dying, holistic approach); and four consequences (dialogical process, improved support of decision‐making, physical impacts, and psychological impacts).ConclusionsThis conceptual framework, identified through this analysis, shows an evolution from a medical perspective to encompassing humanistic perspectives in addressing patient needs and emphasizes the importance of nursing practices. The elucidated concept characteristics may enhance its application, practice promotion, and interdisciplinary understanding across healthcare professions in the end‐of‐life field.

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Should the Surprise Question be Used as a Prognostic Tool for People With Life-limiting Illnesses?

Cited by 4 publications

References 26 publications

Prognostication Tools in Older Hospitalized Adults for Identification of Patients with Potential Palliative Care Needs: A Review of Three Instruments

Prognostication Tools in Older Hospitalized Adults for Identification of Patients with Potential Palliative Care Needs: A Review of Three Instruments

Evaluating the Utility of the Surprise Question Among General Physicians for Appropriate Palliative Care Indication in Brazil

Advance care planning for patient with chronic obstructive pulmonary disease: An evolutionary concept analysis

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