They could get RasPis below 4th gen running outdated software, I guess. I think I read elsewhere that Debian already had a patch out some time ago, so that number is also likely diminishingly small.
Question if I update my server and it has the new SSH (patched) package. Is that enough or do I have to restart the server as well? How can I check if the old SSH is in use currently?
For anyone in RHEL / Fedora land (or using dnf somewhere else), try dnf needs-restarting to list executables that have mismatched files on disk vs memory. The -r flag will hint if a reboot is needed (due to things like kernel or glibc changes)
Restart your ssh server to be sure (probably sudo systemctl restart sshd). No need to reboot your server for this.
I don't know how reliable this is, but I usually go into htop to check if stuff needs to be restarted. Processes in red have been replaced or removed since starting.
That said, regular server reboots are a good idea to make sure kernel patches are applied. Can't go wrong with a reboot just in case.