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:3/29/2017)... ... March 29, 2017 , ... An ... braces. "The rubber bands used in conjunction with my braces always rubbed against ... design a way to prevent this problem." The O.B.S. was the result of ...
(Date:3/29/2017)... Yorba Linda, Ca (PRWEB) , ... March 29, 2017 , ... ... treatment of a growing number of cancers and is touted to be the next ... of treatment, thus far, has been in the form of immune checkpoint inhibitors such ...
(Date:3/29/2017)... ... March 29, 2017 , ... ... (SOGO™), a specialized continuing medical education conference for clinicians who manage some of ... Square, New York. , The program will be led by co- chairs ...
(Date:3/29/2017)... ... March 29, 2017 , ... VisualSP has helped over 1.5 ... the only option for on-premises installation of its Help System for SharePoint was at ... the system into the entire tenant. , The company recently released a modified ...
(Date:3/28/2017)... ... ... getting birth control isn’t as easy as it should be. In fact, millions of women ... care facility or a pharmacy within 60 minutes of where they live. This is especially ... are faced with health or personal issues that leave them homebound. To help facilitate better ...
Breaking Medicine News(10 mins):
(Date:3/28/2017)... , March 28, 2017  Medeon Biodesign, Inc., ... company, is pleased to announce that the Company ... of Panther Orthopedics, Inc., a San ... fixation solutions for orthopedic extremity applications.  ... expand rapidly, primarily due to procedure volume growth, ...
(Date:3/28/2017)...  Rosen Law Firm, a global investor rights law ... on behalf of purchasers of Kitov Pharmaceutical Holdings Ltd. ... to Kitov,s initial public offering on or about November ... from November 20, 2015 through February 3, 2017, both ... recover damages for Kitov investors under the federal securities ...
(Date:3/28/2017)... Summary GBI ... a Key Component of Multichannel Marketing" provides a ... in the digital age. While the pharmaceutical ... advancements, it has been much slower to adopt ... traditional channels and methods. However, the decreasing effectiveness ...
Breaking Medicine Technology: