Impact of mobile stroke units.

stroke

Journal

Journal of neurology, neurosurgery, and psychiatry
ISSN: 1468-330X
Titre abrégé: J Neurol Neurosurg Psychiatry
Pays: England
ID NLM: 2985191R

Informations de publication

Date de publication:
25 May 2021
Historique:
received: 30 01 2021
revised: 01 04 2021
accepted: 07 04 2021
entrez: 26 5 2021
pubmed: 27 5 2021
medline: 27 5 2021
Statut: aheadofprint

Résumé

Since its first introduction in clinical practice in 2008, the concept of mobile stroke unit enabling prehospital stroke treatment has rapidly expanded worldwide. This review summarises current knowledge in this young field of stroke research, discussing topics such as benefits in reduction of delay before treatment, vascular imaging-based triage of patients with large-vessel occlusion in the field, differential blood pressure management or prehospital antagonisation of anticoagulants. However, before mobile stroke units can become routine, several questions remain to be answered. Current research, therefore, focuses on safety, long-term medical benefit, best setting and cost-efficiency as crucial determinants for the sustainability of this novel strategy of acute stroke management.

Identifiants

pubmed: 34035130
pii: jnnp-2020-324005
doi: 10.1136/jnnp-2020-324005
pmc: PMC8292607
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

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Auteurs

Klaus Fassbender (K)

Department of Neurology, Saarland University Medical Center, Homburg, Saarland, Germany Klaus.Fassbender@uks.eu.

Fatma Merzou (F)

Department of Neurology, Saarland University Medical Center, Homburg, Saarland, Germany.

Martin Lesmeister (M)

Department of Neurology, Saarland University Medical Center, Homburg, Saarland, Germany.

Silke Walter (S)

Department of Neurology, Saarland University Medical Center, Homburg, Saarland, Germany.

Iris Quasar Grunwald (IQ)

Department of Neuroscience, Medical School, Anglia Ruskin University, Chelmsford, UK.
Division of Imaging Science and Technology, School of Medicine, University of Dundee, Dundee, UK.

Andreas Ragoschke-Schumm (A)

Department of Neurology, Saarland University Medical Center, Homburg, Saarland, Germany.

Thomas Bertsch (T)

Institute of Clinical Chemistry, Laboratory Medicine and Transfusion Medicine, Paracelsus Private Medical University-Nuremberg Campus, Nuremberg, Bayern, Germany.

James Grotta (J)

Department of Neurology, Memorial Hermann Hospital, Houston, Texas, USA.

Classifications MeSH