Häufigkeit und Charakteristika von Einsätzen der Gemeindenotfallsanitäter bei Pflegebedürftigen: Analyse von 2410 Einsatzprotokollen bei Personen im Alter von 65+Jahren

Background: The aim of this study was to obtain a differentiated view of interventions delivered by community paramedics (Gemeindenotfallsanitater, G-NFS) in older people in need of care living in nursing homes and at home.Materials and methods: A retrospective analysis of G-NFS documentation from 2021 with a focus on patients aged >= 65 years was performed. Data were grouped into callouts to nursing homes or private homes. Interventions, urgency, transport, and further recommendations were analyzed descriptively.Results: Of 5,900 G-NFS protocols, 43.0% (n = 2,410) were related to elderly people (mean age 80.8 years, 49.7% female). A total of 20.6% of these callouts involved nursing home residents, 38.4% (n = 926) were homecare patients, and 41% (n = 988) of callouts were to persons who did not rely on care. No specific interventions except advice were given to 48.4% of nursing home residents, and to even 82.1% of those in homecare and 83.7% of those without care needs. About 60% of the G-NFS interventions were classified as non-urgent. Transport was waived for 63.1% of nursing home residents, for 58.1% in homecare, and for 60.6% of persons without care needs. A visit to the emergency department was recommended to 29.4% of nursing home residents, 37.6% of homecare patients, and 33.6% of persons without need of care. Measures related to urine catheters were documented much more often in nursing homes (38.5%) than in patients in homecare (15.1%) or without need of care (9.3%).Conclusion: Community paramedics perform primary care tasks and can contribute to a reduction in unnecessary transport. It should be discussed whether the emergency medical service is responsible for such interventions and how older people in need of care can be cared for according to their needs in the future.

Automated summary

This study retrospectively analyzed the interventions delivered by community paramedics (G-NFS) to older people in need of care. The findings showed that a significant portion of the callouts were related to care needs. However, many callouts only provided advice without actual interventions, and a substantial number of interventions were classified as non-urgent. Additionally, measures related to urine catheters were more common in nursing homes.