ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2025
Hospital admissions following emergency medical services in Germany: analysis of 2 million hospital cases in 2022.
Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- A European paramedic curriculum for geriatric emergency medicine developed via a modified Delphi technique.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Regional differences, repeated use, and costs of emergency medical services in Germany.Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025Article
- The PopGrouper as a tool for morbidity adjustment in regional comparisons of health care: an analytical framework.Research in health services & regions · 2025Article
- Evaluation of emergency medical responses to nursing homes in a local area of Germany.BMC emergency medicine · 2025Article
- What do community paramedics in Germany do regarding the care of older people? A retrospective, descriptive analysis of low-acuity cases.BMC emergency medicine · 2024Article
- In-hospital mortality, comorbidities, and costs of one million mechanically ventilated patients in Germany: a nationwide observational study before, during, and after the COVID-19 pandemic.The Lancet regional health. Europe · 2024Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of emergency medical services (EMS) in Germany has increased substantially over the last few decades. While current reform efforts aim to increase effectiveness and efficiency of the German hospital and EMS systems, there is lack of data on characteristics of hospital cases using EMS.
objectivesTo analyze and compare the characteristics of cases hospitalized with and without the use of EMS. MATERIALS AND
methodsThe BARMER health insurance data on more than 2 million hospital cases admitted in 2022 were analyzed. The distributions of age, clinical complexity (measured by patient clinical complexity levels, PCCL), main diagnoses, costs for EMS and hospital treatment, and multiple severity indicators were described. The overall severity of hospital cases was classified as "low or moderate" or "high" based on a combined severity indicator. All analyses were stratified by use of EMS and EMS type.
resultsA total of 28% of all included hospital cases used EMS. Relative to hospital cases without use of EMS, hospital cases with use of EMS were older (physician-staffed ambulance: 75 years, interquartile range [IQR] 59-84, double-crewed ambulance: 78 years, IQR 64-85) and had a higher clinical complexity. The severity of more than 30% of the cases using EMS (except for patient transport service ambulance) was classified as "low or moderate". The distributions of main diagnoses differed by severity and use of EMS.
conclusionsThe high proportion of cases with low or moderate severity using EMS may indicate a substantial potential to avoid the use of EMS in the context of hospital admissions in Germany. Further investigation is required to explore whether the proportion of cases using EMS could be reduced by optimizing preclinical service.
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