{"id":26399,"date":"2026-09-14T11:32:03","date_gmt":"2026-09-14T09:32:03","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=26399"},"modified":"2026-09-14T11:32:03","modified_gmt":"2026-09-14T09:32:03","slug":"udrykningskoersel-til-patienter-med-formodet-hjertestop-og-et-dokumenteret-fravalg-af-genoplivningsforsoeg-ved-hjertestop-i-sygehusjournalen","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/09\/14\/udrykningskoersel-til-patienter-med-formodet-hjertestop-og-et-dokumenteret-fravalg-af-genoplivningsforsoeg-ved-hjertestop-i-sygehusjournalen\/","title":{"rendered":"Udrykningsk\u00f8rsel til patienter med formodet hjertestop og et dokumenteret fravalg af genoplivningsfors\u00f8g ved hjertestop i sygehusjournalen."},"content":{"rendered":"

\"\"<\/p>\n

Schmidt PH, Kristensen MJ, Mikkelsen S, Fasmer Blomberg SN, Gaardboe O, Linde L, Poulsen TS. Emergency response with lights and sirens to patients with a suspected out-of-hospital cardiac arrest and a do-not-attempt-resuscitation order in the hospital record: a one-year observational study. Resuscitation. 2026 Jul 27:111224. <\/span>doi: 10.1016\/j.resuscitation.2026.111224.<\/a><\/p>\n

Martha Juul Kristensen, stud.med.<\/span><\/em> martha.juul.kristensen2@rsyd.dk <\/a>Peter Hjelmager Schmidt, stud.med<\/span><\/em>. <\/span>peter.hjelmager.schmidt@rsyd.dk<\/a><\/p>\n

DOWNLOAD RESUM\u00c9<\/a><\/p>\n

Resum\u00e9<\/span><\/strong><\/p>\n

Baggrund
\n<\/span><\/strong>Stillingtagen til behandlingsniveau og genoplivning prioriteres i stigende grad i det danske sundhedsv\u00e6sen. L\u00e6ger kan registrere et fravalg af genoplivning i sygehusjournalen, n\u00e5r patienten \u00f8nsker det, eller n\u00e5r et genoplivningsfors\u00f8g vurderes at v\u00e6re udsigtsl\u00f8st. Det sker altid efter dialog mellem l\u00e6ge, patient og eventuelle p\u00e5r\u00f8rende. Siden 2025 kan borgere over 60 \u00e5r desuden registrere et fravalg direkte p\u00e5 Sundhed.dk uden forudg\u00e5ende l\u00e6gedialog (borgerfravalg). Begge typer fravalg er juridisk g\u00e6ldende, men kun borgerfravalget er synligt p\u00e5 tv\u00e6rs af alle journalsystemer, mens det l\u00e6geligt registrerede fravalg kun ses i det journalsystem, hvor beslutningen blev truffet. Det kan medf\u00f8re, at der fors\u00f8ges genoplivning trods et gyldigt og dokumenteret fravalg.<\/span><\/p>\n

Form\u00e5l
\n<\/span><\/strong>At unders\u00f8ge, hvor ofte udrykningsk\u00f8ret\u00f8jer med lys og sirener blev sendt til patienter med mistanke om hjertestop p\u00e5 trods af et l\u00e6geudstedt fravalg af genoplivning i hospitalsjournalen, samt at kortl\u00e6gge d\u00f8delighed efter 1 d\u00f8gn, 30 dage og 1 \u00e5r og vurdere ressourceforbruget.<\/p>\n

Metode
\n<\/span><\/strong>Retrospektivt observationsstudie af alle akutte udsendelser til mist\u00e6nkt hjertestop i Region Syddanmark i 2024. Data blev indhentet pr\u00e6hospitalt og fra hospitalsjournaler, som blev systematisk gennemg\u00e5et for dokumentation af fravalg af genoplivning, d\u00f8delighed og pr\u00e6hospital ressourceanvendelse.<\/span><\/p>\n

Resultater
\n<\/span><\/strong>Der blev foretaget 1.695 udsendelser til patienter med formodet hjertestop uden for hospitalet. Hos 266 patienter (15,7 %) fandtes et l\u00e6geudstedt fravalg af genoplivning i journalen, hvoraf 126 (47,4 %) var registreret som \u00f8nsket af patienten selv. D\u00f8deligheden inden for det f\u00f8rste d\u00f8gn var 90,6 % blandt patienter med fravalg mod 69,5 % blandt patienter uden (p < 0,001), mens der ikke var signifikant forskel i antallet af udsendte eller fremm\u00f8dte enheder mellem grupperne.<\/span><\/p>\n

Konklusion
\n<\/span><\/strong>N\u00e6sten hver sjette patient med formodet hjertestop havde et l\u00e6geudstedt fravalg af genoplivning i hospitalsjournalen og fik alligevel den samme pr\u00e6hospitale ressourceindsats som patienter uden fravalg. Det tyder p\u00e5, at fravalget i praksis ikke altid n\u00e5ede frem til det personale, som traf beslutning om udrykning og behandling.<\/span><\/p>\n

Implikationer for praksis
\n<\/span><\/strong>Studiet belyser en problematik i h\u00e5ndteringen af det l\u00e6geligt registrerede fravalg, som betyder, at patientens autonomi ikke altid respekteres. Hvis dette skal \u00e6ndres, kr\u00e6ver det en politisk beslutning om at g\u00f8re det l\u00e6gelige fravalg synligt i de elektroniske journalsystemer p\u00e5 lige fod med borgerfravalget.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Schmidt PH, Kristensen MJ, Mikkelsen S, Fasmer Blomberg SN, Gaardboe O, Linde L, Poulsen TS. Emergency response with lights and […]<\/p>\n","protected":false},"author":1,"featured_media":12730,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_ppp_document_settings_meta":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false,"_members_access_role":[],"_members_access_error":""},"categories":[13,162],"tags":[],"class_list":["post-26399","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-resume-af-forskning","category-sygdomsspecifikke-omraader-resume-af-forskning"],"acf":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/sygeplejevidenskab.dk\/wp-content\/uploads\/2024\/08\/Cardio.png?fit=2000%2C2000&quality=80&ssl=1","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/26399","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/comments?post=26399"}],"version-history":[{"count":1,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/26399\/revisions"}],"predecessor-version":[{"id":26401,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/posts\/26399\/revisions\/26401"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media\/12730"}],"wp:attachment":[{"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/media?parent=26399"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/categories?post=26399"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sygeplejevidenskab.dk\/index.php\/wp-json\/wp\/v2\/tags?post=26399"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}