Introduction: Over the last 20 years, there has been a significant increase in the number of rescue services in Germany as well as in other European countries. This puts a significant strain on the system and resources. This raises the question of whether all pulmonological operations are justified and possibly related to socio-economic data and local clustering in a medium-sized city with 200,000 inhabitants.

Methods: In this study, all emergency medical missions (n=6148) of one year of Luebeck before the corona pandemic were analyzed for disease entities, age as well as gender, and correlated with socioeconomic data. For this purpose, the paper-based deployment protocols of the emergency physicians were digitized and assigned to the districts and districts based on the locations and origin of the patients.

Results: For the individual districts there is a different prevalence of acute pulmonological diseases. The incidence can be very clearly assigned to certain districts. In the socio-economic analyses of the individual districts, significant correlations between missions and migration as well as state transfer payments emerge. These differences are particularly evident for the 65-79 age group and indicated for the 19-64 group.

Conclusion: In conclusion, the results show a clear correlation between lower status groups and a higher number of alerts for emergency physicians. In addition, the results suggest that there is an accumulation of lifetime risk negatively influenced by socioeconomic factors for acute pneumological diseases. These data provide starting points for targeted prevention work not only for the health authorities.