TY - JOUR
T1 - Impact of mobile stroke units
AU - Fassbender, Klaus
AU - Merzou, Fatma
AU - Lesmeister, Martin
AU - Walter, Silke
AU - Grunwald, Iris Quasar
AU - Ragoschke-Schumm, Andreas
AU - Bertsch, Thomas
AU - Grotta, James
N1 - © 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.
PY - 2021/8/1
Y1 - 2021/8/1
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85106902594&partnerID=8YFLogxK
U2 - 10.1136/jnnp-2020-324005
DO - 10.1136/jnnp-2020-324005
M3 - Review article
C2 - 34035130
SN - 0022-3050
VL - 92
SP - 815
EP - 822
JO - Journal of Neurology, Neurosurgery and Psychiatry
JF - Journal of Neurology, Neurosurgery and Psychiatry
IS - 8
M1 - 324005
ER -