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Die regelm\u00e4\u00dfige Pr\u00fcfung von Indikation und Patient:innenwille sowie darauf potenziell folgende Therapieziel\u00e4nderungen (TZ\u00c4) sind daher bedeutsam. Die TZ\u00c4-Dokumentation ist teilweise unzureichend.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ziel der Arbeit<\/jats:title>\n                    <jats:p>Analyse der zur TZ\u00c4-Dokumentation genutzten Begriffe und dokumentierten Ma\u00dfnahmen\u00e4nderungen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Material und Methoden<\/jats:title>\n                    <jats:p>\n                      Retrospektive Analyse von\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u2009160 Akten verstorbener Patient:innen von 4\u00a0Intensivstationen (je\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200940\u00a0Akten) eines Uniklinikums. Deskriptive und qualitativ-inhaltsanalytische Auswertung unter Zuhilfenahme von Excel (Microsoft Corporation, Redmond, Washington, USA) und MAXQDA\u00a024 (VERBI Software GmbH, Berlin, Deutschland).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>\n                      In 78\u202f% (125\/160) der Akten fanden sich Hinweise auf eine TZ\u00c4. Die daf\u00fcr genutzten Begriffe lie\u00dfen sich in 11\u00a0Gruppen einteilen: \u201ePalliativ\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200929), \u201eTherapieeinstellung\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200919), \u201eBest Supportive Care\/Symptomkontrolle\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200918), \u201eKeine Eskalation\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200913), \u201eTherapielimitierung\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200911), \u201eTZ\u00c4\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200910), \u201eDo not resuscitate\/do not intubate\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u200910), \u201eTherapieeinfrierung\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20097), \u201eKonkreter Ma\u00dfnahmenbezug\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20093), \u201eGemischte TZ\u00c4-Begriffe\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20093) und \u201eSonstige\u201c (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u20092). In der Stichprobe zeigten sich deskriptive Unterschiede in der H\u00e4ufigkeit der Begriffsgruppen nach Station und Alter. Ma\u00dfnahmen\u00e4nderungen variierten partiell zwischen den Begriffsgruppen. So wurde z.\u202fB. die maschinelle Beatmung bei \u201ePalliativ\u201c mit 71\u202f% (17\/24) am h\u00e4ufigsten beendet.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diskussion<\/jats:title>\n                    <jats:p>In der Literatur empfohlene Begriffe wurden teils eingesetzt, die Nutzung war jedoch inkonsistent. Ma\u00dfnahmen\u00e4nderungen und Begriffsgruppen zeigten nur teilweise \u00e4hnliche Muster. Ein einheitlich definiertes Verst\u00e4ndnis im Versorgungsteam und eine strukturierte Anwendung der Begriffe k\u00f6nnten die interdisziplin\u00e4re Umsetzung von TZ\u00c4 unterst\u00fctzen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00063-026-01504-8","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:56:43Z","timestamp":1790938603000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dokumentation von Therapieziel\u00e4nderungen auf Intensivstationen\u00a0\u2013 eine retrospektive Aktenanalyse bei Verstorbenen","Documentation of changes in goals of care in intensive care units\u00a0\u2013\u00a0retrospective medical record analysis of deceased patients"],"prefix":"10.1007","author":[{"given":"Johanna","family":"Stracke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-6252-6193","authenticated-orcid":false,"given":"Sukhvir","family":"Kaur","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6174-6573","authenticated-orcid":false,"given":"Sophie","family":"Meesters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1326-1560","authenticated-orcid":false,"given":"Jorge","family":"Garcia Borrega","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Adler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Gro\u00df","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris","family":"Jeger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katharina","family":"Ludwig-Stollenwerk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"zur Nieden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2675-6460","authenticated-orcid":false,"given":"Mattias","family":"Vollmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4761-3395","authenticated-orcid":false,"given":"Raymond","family":"Voltz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7354-753X","authenticated-orcid":false,"given":"Aneta","family":"Schieferdecker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6884-1813","authenticated-orcid":false,"given":"Steffen T.","family":"Simon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4316-2379","authenticated-orcid":false,"given":"Kerstin","family":"Kremeike","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"1504_CR1","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/j.jpainsymman.2025.04.015","volume":"70","author":"S Au","year":"2025","unstructured":"Au\u00a0S, Perepeluk\u00a0P, Soo\u00a0A et\u00a0al (2025) Defining and Characterizing Inappropriate Goals of Care Designation: A 10-year Retrospective Multicenter ICU Cohort Study. 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