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Ziel dieser Studie war es, die Inzidenz not\u00e4rztlicher Ma\u00dfnahmen im Rahmen der ACS-Versorgung zu untersuchen und Pr\u00e4diktoren zu identifizieren, die eine Notwendigkeit solcher Ma\u00dfnahmen bereits bei der Notrufabfrage erkennen lassen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Es wurde eine retrospektive Beobachtungsstudie basierend auf 10.833 Rettungsdienstprotokollen aus 3\u00a0Regionen in Deutschland durchgef\u00fchrt. Eingeschlossen wurden Protokolle mit (Verdachts\u2011)Diagnosen wie STEMI, NSTEMI, unklarem Thoraxschmerz oder kardiogenem Schock. Nach umfangreicher Datenbereinigung und Kodierung der Ma\u00dfnahmen erfolgte eine deskriptive Analyse zu Ermittlung der Inzidenz von not\u00e4rztlichen Ma\u00dfnahmen sowie eine logistische Regression, um Pr\u00e4diktoren f\u00fcr not\u00e4rztliche Interventionen zu bestimmen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>In 2,5\u202f% der F\u00e4lle wurden Ma\u00dfnahmen durchgef\u00fchrt, die die Anwesenheit eines Notarztes erforderten. Signifikante Pr\u00e4diktoren f\u00fcr not\u00e4rztliche Ma\u00dfnahmen waren ein nichtdokumentiertes (Odds-Ratio [OR]\u00a02,7), ein getr\u00fcbtes (OR 7,77) oder ein fehlendes Bewusstsein (OR 24,5), eine nichtdokumentierte Atmung (OR 5,13), eine Dyspnoe (OR\u00a02,1), Zyanose (OR 4,48), Apnoe (OR 8,82) oder Kaltschwei\u00dfigkeit (OR3,2).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Die Inzidenz not\u00e4rztlicher Ma\u00dfnahmen bei ACS-Patient:innen ist gering. Die Ergebnisse deuten darauf hin, dass nicht alle ACS-F\u00e4lle eine not\u00e4rztliche Versorgung erfordern. Jedoch sollten Patient:innen mit reduzierter Bewusstseinslage, Zyanose oder Atemstillstand weiterhin zeitnah durch Not\u00e4rzt:innen behandelt werden. Prospektive Studien k\u00f6nnten die Versorgungssituation weiter verbessern.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00063-025-01306-4","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T15:48:08Z","timestamp":1754063288000},"page":"465-472","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Not\u00e4rztliche Ma\u00dfnahmen bei der Versorgung von Patient:innen mit akutem Koronarsyndrom","Emergency physician interventions in the care of patients with acute coronary syndrome"],"prefix":"10.1007","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8583-9275","authenticated-orcid":false,"given":"Thomas","family":"Hofmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1738-092X","authenticated-orcid":false,"given":"Lena","family":"Himmelreich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roland","family":"Kirschenlohr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni","family":"Fredrich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9256-537X","authenticated-orcid":false,"given":"Patrick Andreas","family":"Eder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8369-3778","authenticated-orcid":false,"given":"Frank","family":"Flake","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrin","family":"Bagdahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"Orendt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2231-7749","authenticated-orcid":false,"given":"Melanie","family":"Reuter-Oppermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0141-1747","authenticated-orcid":false,"given":"Rolf","family":"Lefering","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,8,1]]},"reference":[{"key":"1306_CR1","doi-asserted-by":"publisher","first-page":"1528","DOI":"10.1177\/1460458218775157","volume":"25","author":"S Bergrath","year":"2019","unstructured":"Bergrath\u00a0S, M\u00fcller\u00a0M, Rossaint\u00a0R et\u00a0al (2019) Guideline adherence in acute coronary syndromes between telemedically supported paramedics and conventional on-scene physician care: A\u00a0longitudinal pre\u2013post intervention cohort study. 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F.\u00a0Flake ist Vorsitzender des Deutschen Berufsverband Rettungsdienst (DBRD). T.\u00a0Fredrich und K.\u00a0Bagdahn sind bei der Feuerwehr Bremen angestellt. L.\u00a0Himmelreich, R.\u00a0Kirschenlohr, P.A.\u00a0Eder, J.\u00a0Orendt, M.\u00a0Reuter-Oppermann und R.\u00a0Lefering geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"F\u00fcr die Studie liegt ein positives Votum der Ethikkommission der HSD Hochschule D\u00f6pfer vom 31.05.2023 vor (Antragszeichen Beth_55_23).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}