Mobile stroke unit for diagnosis-based triage of persons with suspected stroke

P. Kostopoulos; S. Walter; A. Haass; P. Papanagiotou; C. Roth; U. Yilmaz; H. Körner; M. Alexandrou; J. Viera; E. Dabew; K. Ziegler; K. Schmidt; D. Kubulus; Iris Grunwald; Thomas Schlechtriemen; Yang Liu; Thomas Volk; Wolfgang Reith; Klaus Fassbender

doi:10.1212/WNL.0b013e318258f773

Mobile stroke unit for diagnosis-based triage of persons with suspected stroke

P. Kostopoulos
, S. Walter
, A. Haass
, P. Papanagiotou
, C. Roth
, U. Yilmaz
, H. Körner
, M. Alexandrou
, J. Viera
, E. Dabew
, K. Ziegler
, K. Schmidt
, D. Kubulus
, Iris Grunwald
, Thomas Schlechtriemen
, Yang Liu
, Thomas Volk
, Wolfgang Reith
, Klaus Fassbender (Lead / Corresponding author)

Research output: Contribution to journal › Article › peer-review

56 Citations (Scopus)

Abstract

Background: In this feasibility study, we tested whether prehospital diagnostic stroke workup enables rational decision-making regarding treatment and the target hospital in persons with suspected stroke.

Methods: A mobile stroke unit that delivers imaging (including multimodal brain imaging with CT angiography and CT perfusion), point-of-care-laboratory analysis, and neurologic expertise directly at the emergency site was analyzed for its use in prehospital diagnosis-based triage of suspected stroke patients.

Results: We present 4 complementary cases with suspected stroke who underwent prehospital diagnostic workup that enabled direct diagnosis-based treatment decisions and reliable triage regarding the most appropriate medical facility for that individual, e.g., a primary hospital vs specialized centers of a tertiary hospital.

Conclusions: This preliminary report demonstrates the feasibility of prehospital diagnostic stroke workup for immediate etiology-specific decision-making regarding the necessary time-sensitive stroke treatment and the most appropriate target hospital.

Original language	English
Pages (from-to)	1849-1852
Number of pages	4
Journal	Neurology
Volume	78
Issue number	23
DOIs	https://doi.org/10.1212/WNL.0b013e318258f773
Publication status	Published - 5 Jun 2012

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10.1212/WNL.0b013e318258f773

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Kostopoulos, P., Walter, S., Haass, A., Papanagiotou, P., Roth, C., Yilmaz, U., Körner, H., Alexandrou, M., Viera, J., Dabew, E., Ziegler, K., Schmidt, K., Kubulus, D., Grunwald, I., Schlechtriemen, T., Liu, Y., Volk, T., Reith, W., & Fassbender, K. (2012). Mobile stroke unit for diagnosis-based triage of persons with suspected stroke. Neurology, 78(23), 1849-1852. https://doi.org/10.1212/WNL.0b013e318258f773

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title = "Mobile stroke unit for diagnosis-based triage of persons with suspected stroke",

abstract = "Background: In this feasibility study, we tested whether prehospital diagnostic stroke workup enables rational decision-making regarding treatment and the target hospital in persons with suspected stroke. Methods: A mobile stroke unit that delivers imaging (including multimodal brain imaging with CT angiography and CT perfusion), point-of-care-laboratory analysis, and neurologic expertise directly at the emergency site was analyzed for its use in prehospital diagnosis-based triage of suspected stroke patients. Results: We present 4 complementary cases with suspected stroke who underwent prehospital diagnostic workup that enabled direct diagnosis-based treatment decisions and reliable triage regarding the most appropriate medical facility for that individual, e.g., a primary hospital vs specialized centers of a tertiary hospital. Conclusions: This preliminary report demonstrates the feasibility of prehospital diagnostic stroke workup for immediate etiology-specific decision-making regarding the necessary time-sensitive stroke treatment and the most appropriate target hospital.",

author = "P. Kostopoulos and S. Walter and A. Haass and P. Papanagiotou and C. Roth and U. Yilmaz and H. K{\"o}rner and M. Alexandrou and J. Viera and E. Dabew and K. Ziegler and K. Schmidt and D. Kubulus and Iris Grunwald and Thomas Schlechtriemen and Yang Liu and Thomas Volk and Wolfgang Reith and Klaus Fassbender",

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doi = "10.1212/WNL.0b013e318258f773",

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Kostopoulos, P, Walter, S, Haass, A, Papanagiotou, P, Roth, C, Yilmaz, U, Körner, H, Alexandrou, M, Viera, J, Dabew, E, Ziegler, K, Schmidt, K, Kubulus, D, Grunwald, I, Schlechtriemen, T, Liu, Y, Volk, T, Reith, W & Fassbender, K 2012, 'Mobile stroke unit for diagnosis-based triage of persons with suspected stroke', Neurology, vol. 78, no. 23, pp. 1849-1852. https://doi.org/10.1212/WNL.0b013e318258f773

TY - JOUR

T1 - Mobile stroke unit for diagnosis-based triage of persons with suspected stroke

AU - Kostopoulos, P.

AU - Walter, S.

AU - Haass, A.

AU - Papanagiotou, P.

AU - Roth, C.

AU - Yilmaz, U.

AU - Körner, H.

AU - Alexandrou, M.

AU - Viera, J.

AU - Dabew, E.

AU - Ziegler, K.

AU - Schmidt, K.

AU - Kubulus, D.

AU - Grunwald, Iris

AU - Schlechtriemen, Thomas

AU - Liu, Yang

AU - Volk, Thomas

AU - Reith, Wolfgang

AU - Fassbender, Klaus

PY - 2012/6/5

Y1 - 2012/6/5

N2 - Background: In this feasibility study, we tested whether prehospital diagnostic stroke workup enables rational decision-making regarding treatment and the target hospital in persons with suspected stroke. Methods: A mobile stroke unit that delivers imaging (including multimodal brain imaging with CT angiography and CT perfusion), point-of-care-laboratory analysis, and neurologic expertise directly at the emergency site was analyzed for its use in prehospital diagnosis-based triage of suspected stroke patients. Results: We present 4 complementary cases with suspected stroke who underwent prehospital diagnostic workup that enabled direct diagnosis-based treatment decisions and reliable triage regarding the most appropriate medical facility for that individual, e.g., a primary hospital vs specialized centers of a tertiary hospital. Conclusions: This preliminary report demonstrates the feasibility of prehospital diagnostic stroke workup for immediate etiology-specific decision-making regarding the necessary time-sensitive stroke treatment and the most appropriate target hospital.

AB - Background: In this feasibility study, we tested whether prehospital diagnostic stroke workup enables rational decision-making regarding treatment and the target hospital in persons with suspected stroke. Methods: A mobile stroke unit that delivers imaging (including multimodal brain imaging with CT angiography and CT perfusion), point-of-care-laboratory analysis, and neurologic expertise directly at the emergency site was analyzed for its use in prehospital diagnosis-based triage of suspected stroke patients. Results: We present 4 complementary cases with suspected stroke who underwent prehospital diagnostic workup that enabled direct diagnosis-based treatment decisions and reliable triage regarding the most appropriate medical facility for that individual, e.g., a primary hospital vs specialized centers of a tertiary hospital. Conclusions: This preliminary report demonstrates the feasibility of prehospital diagnostic stroke workup for immediate etiology-specific decision-making regarding the necessary time-sensitive stroke treatment and the most appropriate target hospital.

U2 - 10.1212/WNL.0b013e318258f773

DO - 10.1212/WNL.0b013e318258f773

M3 - Article

SN - 0028-3878

VL - 78

SP - 1849

EP - 1852

JO - Neurology

JF - Neurology

IS - 23

ER -

Mobile stroke unit for diagnosis-based triage of persons with suspected stroke

Abstract

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