Unangemessene Maßnahmen bei der präklinischen Notfallversorgung von Palliativpatienten mit begrenzter Lebenserwartung. Eine prospektive Observationsstudie.

Zusammenfassung

Ziel der Studie

Mit dieser Studie wurden die Häufigkeit und Intensität von Rettungsdiensteinsätzen bei Palliativpatienten sowie die Angemessenheit der Behandlung untersucht.

Methoden

Bewertung von Interventionen des Rettungsdienstes bei einem palliativen Ansatz während 6 Monaten nach Entlassung. Rettungsdienstprotokolle wurden in Hinblick auf unangemessene Maßnahmen analysiert.

Ergebnisse

26 von 105 Patienten (24,8%) wurden während der Nachbeobachtung mindestens einmal von einem Rettungsdienst konsultiert. Die häufigsten Gründe waren Dyspnoe (25,8%) und Schmerzen (16,1%). Eine unangemessene Behandlung wurde bei einem Drittel aller Patienten festgestellt.

Schlussfolgerung

Bei Patienten in palliativen Behandlungssituationen sind unangemessene medizinische Interventionen, einschließlich Übertherapie, ein häufig zu beobachtendes Phänomen. Maßnahmen der vorausschauenden Versorgungsplanung (Advance Care Planning, ACP) sowie standardisierte Notfalldokumente können dazu beitragen, in akuten Situationen nicht indizierte oder patientenwillenswidrige Therapien zu vermeiden.

Abstract

Aim of the study

This study investigated the frequency and intensity of emergency service interventions in palliative care patients and the appropriateness of treatment.

Methods

Evaluation of emergency service interventions in palliative care during 6 months period after discharge. Protocols were analysed for inappropriate measures.

Results

26 of 105 patients (24.8%) were consulted by an emergency medical service at least once during the follow-up period. The most common reasons were dyspnoea (25,8%) and pain (16,1%). Inappropriate treatment was found in one third of all patients.

Conclusion

In patients in palliative care situations, inappropriate medical interventions, including overtreatment, are a frequently observed.

Schlüsselwörter

Rettungsdienst - Überversorgung - Reanimation

Keywords

prehospital emergency care - overtherapy - resucitation

Publication History

Received: 25 June 2025

Accepted after revision: 17 December 2025

Article published online:
16 January 2026

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