Navigation Links
Mobile Stroke Units Might Trim Time to Treatment
Date:4/11/2012

By Denise Mann
HealthDay Reporter

WEDNESDAY, April 11 (HealthDay News) -- Clot-busting drugs can help stave off lasting disability after a stroke, but they must be given within a 4.5-hour window and many people arrive at the hospital too late to use them.

Now, German researchers report that they think they have found a solution to the problem: mobile stroke units. Equipped with what is needed to diagnose and treat a stroke, these ambulances are stocked with clot-busting tissue plasminogen activator (tPA) and the CT scanning technology needed to confirm whether an ischemic stroke has occurred, blood flow is blocked and it is safe to use tPA.

Unfortunately, while the mobile stroke units did speed the time to treatment, this did not lead to improvements in neurological outcomes or increase the number of people who received tPA. The findings are published in the April 11 online edition of The Lancet Neurology.

In the study conducted by Dr. Klaus Fassbender and his colleagues from the University of the Saarland in Homburg, 100 people with suspected stroke were either treated in the mobile stroke units or at the hospital. Use of mobile stroke units roughly halved the time from the initial emergency call to treatment decision, from 76 minutes to 35 minutes.

What's more, treatment in a mobile stroke unit also lowered the time from symptom onset to therapy decision to less than an hour for 57 percent of people. By contrast, just 4 percent who were treated in the hospital were evaluated in under an hour.

The time from calling emergency services to administering treatment was 38 minutes among people treated in the mobile unit versus 73 minutes among those who were treated at the hospital, the investigators found.

Commenting on the study, Dr. Larry Goldstein, director of the Duke Stroke Center in Durham, N.C., said that while an interesting concept, mobile stroke units may not be feasible in the United States due to cost. "There might be some circumstances where such a thing might be considered, but that would really have to be thought through very carefully."

Unless and until that occurs, the best way to make sure that people with suspected stroke get treatment promptly is to have 911 operators trained to recognize that a caller may be having a stroke and dispatch the appropriate unit to take them to the nearest stroke center where they can be evaluated and treated as quickly as possible, Goldstein said.

Dr. Robert Glatter, an emergency medicine physician at Lenox Hill Hospital in New York City, added that "the concept of a mobile stroke unit is a promising approach to more rapidly and effectively assess and treat patients with acute strokes in the field."

Some potential downsides include the cost of the set-up, Glatter pointed out. "We will need an adequately powered, larger multi-center trial to answer the question of whether largely urban-based mobile stroke units ultimately improve outcome of stroke patients in the 'time is brain' paradigm," he noted.

Glatter agreed that knowing the symptoms of a stroke is the most important way to make sure that care is delivered in timely fashion. Stroke symptoms may include facial drooping, difficulty speaking, sudden numbness, dizziness and confusion.

More information

Is it a stroke? Learn the symptoms at the National Stroke Association.

SOURCES: Larry B. Goldstein, M.D., director, Duke Stroke Center, Durham, N.C.; Robert Glatter, M.D., emergency medicine physician, Lenox Hill Hospital, New York City; April 11, 2012, The Lancet Neurology, online


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Mobile DNA elements can disrupt gene expression and cause biological variation, study shows
2. New device for rapid, mobile detection of brain injury
3. Researchers describe a new genetic program that converts static cells into mobile invasive cells
4. Text4baby mobile service shows positive results for new moms
5. UTHealth researchers train promotoras to combine mobile technology, cancer prevention messages
6. Interactive mobile app from UCSF and QuantiaMD teaches people how to manage diabetes
7. Mobile Devices Dangerous for Pedestrians, Too
8. UM School of Medicine finds that mobile phone technology helps patients manage diabetes
9. Children and adolescent mobile phone users at no greater risk of brain cancer than non-users
10. Mobile Sensors Track Health of Elderly in Pilot Test
11. Mobile phone derived electromagnetic fields can disturb learning
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Mobile Stroke Units Might Trim Time to Treatment
(Date:6/28/2017)... ... June 28, 2017 , ... Vayyar ... to see through objects, has announced the winners of its "Power to the ... fully programmable, Raspberry Pi-enabled 3D sensor, Walabot . Creators cast submissions on ...
(Date:6/28/2017)... ... June 28, 2017 , ... Continually at ... Liquid Stevia Sweet Drops™ have received the Non-GMO Project Verified seal. All five ... Non-GMO Project, the only third-party verification for non-GMO foods and products in North ...
(Date:6/28/2017)... ... ... remote control has seen the never-ending twists on the house flipping show genre. The shows ... time. But what about the buyers of the flipper's flip. , Here is ... An email recently sent to Gary Case said, “Just closed on a home on ...
(Date:6/28/2017)... , ... June 28, 2017 , ... American Farmer proudly ... episode of the award winning television series, scheduled to broadcast fourth quarter 2017. American ... originated as a regional supplier of garden pea seed. As demand grew, the small ...
(Date:6/28/2017)... , ... June 28, 2017 , ... ... County and the surrounding regions access to insurance assistance and financial planning services, ... 25: Ministries to assist families in the region facing financial crisis. , Matthew ...
Breaking Medicine News(10 mins):
(Date:5/29/2017)... TEL AVIV, Israel, May 29, 2017  Cellect Biotechnology ... of innovative technology which enables the functional selection of ... financial results for the first quarter ended March 31 ... pleased with our accomplishments in the first quarter of ... the first quarter, we announced the treatment of the ...
(Date:5/26/2017)... , May 25, 2017  In response to ... , Direct Relief is working with Pfizer to ... available at no cost to community health centers, free ... providers nationwide. "Pfizer has a long-standing ... medicines and ensuring patient safety through educational activities," said ...
(Date:5/23/2017)... , May 23, 2017  Leaf Healthcare, recognized ... medical devices for pressure ulcer prevention, will unveil ... Association of Critical Care Nurses, National Teaching Institute ... The Leaf Patient Monitoring System is ... the hospital environment.  The system seamlessly tracks patient ...
Breaking Medicine Technology: