PMID- 31143974
OWN - NLM
STAT- MEDLINE
DCOM- 20190903
LR  - 20200225
IS  - 1432-2102 (Electronic)
IS  - 0033-832X (Linking)
VI  - 59
IP  - 7
DP  - 2019 Jul
TI  - [Mobile Stoke Unit : Changes in the concept of stroke care over time].
PG  - 622-626
LID - 10.1007/s00117-019-0548-z [doi]
AB  - BACKGROUND: Stroke continues to be a major cause of death and one of the most 
      frequent reasons for permanent disability and dependence on caregiving at an 
      adult age, whereby ischemic stroke is regarded as a medical condition that can be 
      treated. One of the main reasons why patients with acute stroke are not given 
      causal or evidence-based treatment is the delay in reaching 
      a treatment-specialized team at a suitable clinic. After the dawning of the age 
      of neurothrombectomy, various management concepts have been established to 
      transfer the patient to a center with the appropriate level of treatment as 
      quickly as possible (time is brain). METHODS: The Mobile Stroke Unit (MSU) is an 
      ambulance that contains all the equipment required to clarify the cause of 
      a stroke and thus enables treatment and triage decision-making at the scene of 
      the emergency. RESULTS: Due to prehospital implementation of the "need-for-speed" 
      notion, the MSU assumes a special role. Present data indicate a benefit with 
      regard to a shortening of time to thrombolysis and an increase in treatment rates 
      within the first (golden) hour. In addition, it is possible to make 
      a diagnosis-based triage decision regarding a hospital with or without an 
      endovascular treatment option. CONCLUSIONS: The MSU allows swifter treatment and 
      a diagnosis-based triage decision at the scene of the emergency. It is now 
      important to continue evaluating the clinical and socioeconomic benefit of these, 
      at first glance expensive, preclinical tools and also continue analyzing special 
      regional aspects as well as the pros and cons of the concepts. The recently 
      established Prehospital Stroke Treatment Organization (PRESTO) represents 
      a promising approach.
FAU - Kettner, M
AU  - Kettner M
AD  - Klinik fur diagnostische und interventionelle Neuroradiologie, UKS - 
      Universitatsklinikum des Saarlandes, Kirrberger Str. 100, 66421, Homburg (Saar), 
      Deutschland. michael.kettner@uks.eu.
FAU - Walter, S
AU  - Walter S
FAU - Fassbender, K
AU  - Fassbender K
LA  - ger
PT  - Journal Article
PT  - Review
TT  - Mobile Stroke Unit (MSU) : Schlaganfall-Versorgungskonzept im Wandel der Zeit.
PL  - Germany
TA  - Radiologe
JT  - Der Radiologe
JID - 0401257
SB  - IM
MH  - Ambulances
MH  - *Brain Ischemia/diagnosis
MH  - *Emergency Medical Services
MH  - Humans
MH  - *Stroke/diagnosis
MH  - Thrombolytic Therapy
MH  - Triage
OTO - NOTNLM
OT  - Brain Ischemia
OT  - Large vessel occlusion
OT  - Prehospital stroke therapy
OT  - Thrombectomy
OT  - Triage
EDAT- 2019/05/31 06:00
MHDA- 2019/09/04 06:00
CRDT- 2019/05/31 06:00
PHST- 2019/05/31 06:00 [pubmed]
PHST- 2019/09/04 06:00 [medline]
PHST- 2019/05/31 06:00 [entrez]
AID - 10.1007/s00117-019-0548-z [pii]
AID - 10.1007/s00117-019-0548-z [doi]
PST - ppublish
SO  - Radiologe. 2019 Jul;59(7):622-626. doi: 10.1007/s00117-019-0548-z.