Batzler Yann-Nicolas, Wetzlar Jannis, Wildner Dirk, Schallenburger Manuela, Tenge Theresa, Stefaniak Marc, Delgado Miguel Angel Méndez, Schwartz Jacqueline, Böhm Lennert, Bernhard Michael, Neukirchen Martin
Centre of Palliative Care and Pediatric Pain, Faculty of Medicine, Saarland University Medical Center and Saarland University, Homburg/Saar, Germany.
Interdisciplinary Center for Palliative Medicine, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University Düsseldorf, Moorenstraße 5, 40225, Düsseldorf, Germany.
Scand J Trauma Resusc Emerg Med. 2025 Sep 12;33(1):147. doi: 10.1186/s13049-025-01468-2.
Specialized outpatient palliative care (SOPC) aims at relieving symptoms and providing psychosocial aid in the outpatient setting. SOPC also supports patients in setting up advance directives so that their will is respected in emergency situations.
The aim of this study is to analyze the impact of SOPC on the completion of advance care directives with the focus on medical emergency identification (ID) cards (= living will in a credit card format on yellow paper) and their impact on hospital admissions.
All adult patients who were admitted to the SOPC service at a tertiary care center in Germany between 07/2022 and 06/2023 were included in this retrospective cohort study. Demographic data, level of care, information on advance care directives, hospitalizations, adherence to patient wishes, and tumor specific treatments were collected. The data were analyzed using descriptive and inferential measures.
During the study period, 359 patients were included (52.0% female, mean age 74 ± 13 years). A medical emergency ID card was set up by 32.6% ( = 117/359). It was significantly more likely to be created during SOPC than prior to SOPC involvement (before: 20%, after: 80%; < 0.05). Patients who expressed not wanting to be admitted to hospital in their medical emergency ID card saw significantly less hospital admissions ( < 0.05).
SOPC supports patients in setting up medical emergency ID cards. These help in respecting patients’ wishes and prevent unwanted admissions to hospitals, thereby reducing strain on emergency services and emergency departments.
专科门诊姑息治疗（SOPC）旨在在门诊环境中缓解症状并提供心理社会援助。SOPC还支持患者制定预先指示，以便在紧急情况下尊重他们的意愿。
本研究的目的是分析SOPC对预先护理指示完成情况的影响，重点是医疗急救识别（ID）卡（=黄色纸上信用卡格式的生前遗嘱）及其对住院的影响。
本回顾性队列研究纳入了2022年7月至2023年6月期间在德国一家三级护理中心接受SOPC服务的所有成年患者。收集了人口统计学数据、护理水平、预先护理指示信息、住院情况、对患者意愿的遵守情况以及肿瘤特异性治疗信息。使用描述性和推断性方法对数据进行分析。
在研究期间，纳入了359名患者（52.0%为女性，平均年龄74±13岁）。32.6%（=117/359）的患者设立了医疗急救ID卡。在SOPC期间设立的可能性明显高于SOPC参与之前（之前：20%，之后：80%；<0.05）。在医疗急救ID卡中表示不想住院的患者住院次数明显减少（<0.05）。
SOPC支持患者设立医疗急救ID卡。这些有助于尊重患者的意愿，防止不必要的住院，从而减轻急诊服务和急诊科的压力。
