How Well Does the Surprise Question Predict 1-year Mortality for Patients Admitted with COPD?

ABSTRACT:

Background

Patients with chronic obstructive pulmonary disease (COPD) often receive burdensome care at end-of-life (EOL) and infrequently complete advance care planning (ACP). The surprise question (SQ) is a prognostic tool that may facilitate ACP.

Objective

To assess how well the SQ predicts mortality and prompts ACP for COPD patients.

Design

Retrospective cohort study.

Subjects

Patients admitted to the hospital for an acute exacerbation of COPD between July 2015 and September 2018.

Main measures

Emergency department (ED) and inpatient clinicians answered, "Would you be surprised if this patient died in the next 30 days (ED)/one year (inpatient)?" The primary outcome measure was the accuracy of the SQ in predicting 30-day and 1-year mortality. The secon

SUBMITTER: Tripp D 

PROVIDER: S-EPMC8390592 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature