Sichuan University, Chengdu, China.
Xinjiang Medical University, Urumqi, China.
Inquiry. 2023 Jan-Dec;60:469580231163089. doi: 10.1177/00469580231163089.
The Surprise Question is an effective tool to identify patients in need of palliative care. But it is unknown whether the Surprise Question can effectively predict adverse outcomes in Emergency patients. Therefor this study is to determine the utility of the modified Surprise Question for risk stratification in emergency patients. And assessed if the modified Surprise Question could be used by different healthcare personnel. Nurses and patients' families were asked to respond as "Yes" or "No" to the modified Surprise Question for each patient. The outcome was resuscitation unit admission. Logistic regression was used to determine covariant significantly associated with resuscitation unit admission. The area under the curve for the second Surprise Question response by nurses was 0.620, which improved to 0.704 when the responses of nurses and patients' families were in agreement. The clinical impression of nurses is a valuable tool to predict altered conditions for medium-acuity patients, and the diagnostic accuracy improves when responses of patients' families and nurses agreed. The clinical impression of nurses is a valuable tool to predict altered conditions for medium-acuity patients, and the diagnostic accuracy improves when responses of patients' families and nurses agreed.
“惊讶问题”是一种有效的工具，可以识别需要姑息治疗的患者。但是，尚不清楚“惊讶问题”是否可以有效地预测急诊患者的不良结局。因此，本研究旨在确定改良后的“惊讶问题”在急诊患者中的风险分层中的效用，并评估不同医疗保健人员是否可以使用改良后的“惊讶问题”。护士和患者家属被要求对每位患者的改良“惊讶问题”回答“是”或“否”。结果是复苏单元入院。逻辑回归用于确定与复苏单元入院显著相关的协变量。护士第二次回答“惊讶问题”的曲线下面积为 0.620，当护士和患者家属的回答一致时，提高到 0.704。护士的临床印象是预测中度急症患者病情变化的有价值的工具，当患者家属和护士的回答一致时，诊断准确性会提高。
