{"id":7121,"date":"2025-04-29T08:53:07","date_gmt":"2025-04-29T06:53:07","guid":{"rendered":"https:\/\/family-medicine.org\/surprise-question\/"},"modified":"2025-05-08T09:01:21","modified_gmt":"2025-05-08T07:01:21","slug":"surprise-question","status":"publish","type":"post","link":"https:\/\/family-medicine.org\/de\/surprise-question\/","title":{"rendered":"Ist die „Surprise Question“ aussagekr\u00e4ftig?"},"content":{"rendered":"\t\t
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Die Frage „W\u00fcrde es mich \u00fcberraschen, wenn dieser Patient in den n\u00e4chsten 12 Monaten stirbt?“<\/strong> zielt darauf ab, Patienten mit hohem Sterberisiko zu identifizieren, die von der Palliativmedizin profitieren k\u00f6nnten. Aber wie zuverl\u00e4ssig ist diese subjektive Einsch\u00e4tzung? <\/p>

Ein Systematic Review<\/a> (2017) analysierte 17 Studien zu diesem Thema. Das Ergebnis zeigte eine Sensitivit\u00e4t von 67% und eine Spezifit\u00e4t von 80%. Die Autoren kamen zu dem Schluss, dass die „\u00dcberraschungsfrage“ eine geringe bis mittlere Genauigkeit<\/strong> bei der Vorhersage des Todes innerhalb der n\u00e4chsten 12 Monate hat. Sie betonten jedoch, dass diese Frage weder „gut“ noch „schlecht“ ist, sondern durch klinische Indikatoren erg\u00e4nzt werden sollte (was einige Palliativpflege-Scores bereits tun). <\/p>

In einer \u00e4lteren BMJ-Studie<\/a> (2000) wurden 343 \u00c4rzte dazu befragt, wie lange 468 unheilbar kranke Patienten (zum Zeitpunkt ihrer Hospiz\u00fcberweisung; Durchschnittsalter 69 Jahre) voraussichtlich leben w\u00fcrden. Die tats\u00e4chliche durchschnittliche \u00dcberlebenszeit dieser Patienten betrug 24 Tage. Obwohl erfahrene \u00c4rzte genauer waren, lagen die meisten dennoch daneben: <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Fazit:<\/span>
<\/strong><\/h3>

Die „\u00dcberraschungsfrage“ ist einfach und schnell, aber sie ist oft ungenau. Es scheint, dass wir \u00c4rzte nicht besonders gut darin sind, das Sterberisiko intuitiv einzusch\u00e4tzen, und wir neigen dazu, zu optimistisch zu sein. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Die „Surprise Question“ ist ein schnelles Tool zur Einsch\u00e4tzung der Prognose in der Palliativmedizin. Aber ist dieser \u00fcbliche Bauchgef\u00fchl-Check zuverl\u00e4ssig? Hier ein Blick auf die Evidenz! <\/p>\n","protected":false},"author":93452803,"featured_media":7118,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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