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Titel: Hybrid‐Mobile Stroke Unit: Opening the Indication Spectrum for Stroke Mimics and Beyond
VerfasserIn: Fassbender, Klaus UdsID
Phillips, Daniel J.
Grunwald, Iris Q.
Schottek, Andrea
Alam, Sajid
Perera, Saman
Chakrabarti, Annie
Moon, Robert
Lesmeister, Martin
Wagner, Viola
Wheddon, Damon
Dommett, David
Wells, Brittany
Middleton, Rheanne
Willis, Robert
Bachhuber, Monika
Merzou, Fatma
Wagenpfeil, Stefan UdsID
Thottath, Jineesh
Bertsch, Thomas
Walter, Silke
Sprache: Englisch
In:
Titel: Stroke: Vascular and Interventional Neurology
Bandnummer: 3 (2023)
Heft: 1
Verlag/Plattform: Wiley
Erscheinungsjahr: 2022
Freie Schlagwörter: mobile stroke uni
prehospital
stroke
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: BACKGROUND: Despite proven benefits, the use of single-purpose mobile stroke units (MSUs) has raised concerns about their effective and cost-efficient integration into clinical practice, especially when considered for operation in nonurban areas. The MSU concept may benefit from opening the indication spectrum to include frequent stroke mimics and additional emergencies. METHODS: The current observational study evaluated benefits for the treatment and triage decision-making of use of an MSU with extended capabilities (Hybrid-MSU), also including radiography, ultrasonography, extended point-of-care laboratory, ECG, electroencephalography, and advanced medications. Apart from patients with a dispatch code for “stroke”, the ambulance was also dispatched to those with codes for “seizures”, “falls with head trauma”, “headache”, “unconsciousness”, “infection and pandemic”, “chest pain”, and “breathing problems”. RESULTS: For 250 patients treated by the Hybrid-MSU, but not for 250 conventionally treated patients, the prehospital diagnostic workup allowed, apart from treatment with stroke thrombolytics (n=15), prehospital administration of specific anticonvulsants (n=15), antibiotics (n=5), early secondary stroke prophylaxis with aspirin (n=49), and the Sepsis Six bundle (n=2). Prehospital diagnosis avoided 215 (86.0%) admissions to the emergency department, either by management at home (n=116, 46.4%) or by directly transferring patients to the required specialized wards (n=99, 39.6%). CONCLUSION: The current study demonstrates the feasibility of the use of a Hybrid-MSU and indicates its potential benefits for prehospital treatment and triage decision-making. Opening the indication spectrum, together with an act-alone ability, could be a key in the future integration of MSUs into routine health care.
DOI der Erstveröffentlichung: 10.1161/SVIN.122.000482
URL der Erstveröffentlichung: https://doi.org/10.1161/SVIN.122.000482
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-418714
hdl:20.500.11880/37464
http://dx.doi.org/10.22028/D291-41871
ISSN: 2694-5746
Datum des Eintrags: 11-Apr-2024
Bezeichnung des in Beziehung stehenden Objekts: Supplemental Materials
In Beziehung stehendes Objekt: https://www.ahajournals.org/action/downloadSupplement?doi=10.1161%2FSVIN.122.000482&file=svi212386-sup-0001-suppmat.pdf
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Medizinische Biometrie, Epidemiologie und medizinische Informatik
M - Neurologie und Psychiatrie
Professur: M - Prof. Dr. Klaus Faßbender
M - Prof. Dr. Stefan Wagenpfeil
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes



Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons Creative Commons