Mobile stroke units: taking stroke care to the patient. Issue 2 (April 2020)

• Record Type: Journal Article
• Authors: Bhalla, Tarun; Rahmani, Redi; Le Roux, Peter
• Is Part Of: Current opinion in critical care. Volume 26:Issue 2(2020)
• Publication Date: 2020-04
• Subjects: endovascular -- revascularization -- stroke; Critical care medicine -- Periodicals; 616.028
• DOI: 10.1097/MCC.0000000000000702
• Languages: English
• ISSNs: 1070-5295

Abstract

Abstract : Purpose of review: Since the development of intravenous tissue plasminogen activator (tPA) for acute ischemic stroke (AIS), functional outcome has improved when treatment occurs within 4.5 h of stroke onset and treatment benefits are greater with earlier treatment. Endovascular revascularization also is better the sooner it is delivered. Recent findings: The Get with the Guidelines Stroke registry found that less than one-third of treatment-eligible AIS patients receive intravenous tPA within 60 min of hospital arrival. Initiatives have tried to improve public education and awareness of stroke symptoms to decrease time to presentation. The mobile stroke unit (MSU) facilitates earlier computed tomography scans, delivery of tPA, proper triage and on-scene goal-directed care. MSUs reduce time from stroke alarm to treatment by 25–40 min and increase the rate of intravenous tPA use without an increase in hemorrhage risk. In addition, three-month favorable outcome is increased. Summary: MSUs likely will evolve further and be used for other acute neurologic disorders, help triage patients for endovascular therapy, and be incorporated into systems of care in remote areas. Further studies are awaited to fully understand the overall medical and health-economic benefit of MSUs.