COPD patients in need of palliative care: Identification after hospitalization through the surprise question

Chronic Respiratory Disease
Dionne NoppeKris Mooren

Abstract

Currently, few patients suffering from chronic obstructive pulmonary disease (COPD) who might benefit from a palliative care approach are referred to a palliative care team. Tools to identify patients eligible for a palliative care approach have been found to be difficult to apply in daily practice. Therefore, there is need for a simple and easily applicable tool to identify those patients who would benefit from referral to a palliative care team. The aim of this study was to determine if the surprise question (SQ) "Would I be surprised if this patient dies within 12 months?" in a subset of recently hospitalized COPD patients identifies those subjects. Recently hospitalized COPD patients were included, and the answer to the SQ was provided by the treating pulmonologist. The gold standards framework (GSF) prognostic indicator guidance was regarded as the gold standard test and was assessed for each patient. Sensitivity, specificity, and negative and positive predictive values were calculated to determine the accuracy of the SQ plus recent hospitalization compared to the variables of the GSF. A total of 93 patients were analyzed. In 35 patients (38%), the answer to the SQ was "not surprised"; 78 patients (84%) met ≥1 criteria of ...Continue Reading

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Citations

Jan 8, 2021·Journal of General Internal Medicine·Dana TrippRebecca N Hutchinson
Apr 6, 2021·International Journal of Chronic Obstructive Pulmonary Disease·Johanna M C BroeseNiels H Chavannes
Mar 20, 2021·The European Respiratory Journal·Jennifer PhilipDavid Hui

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