• J. Neurol. Neurosurg. Psychiatr. · May 2021

    Review

    Impact of mobile stroke units.

    • Klaus Fassbender, Fatma Merzou, Martin Lesmeister, Silke Walter, Iris Quasar Grunwald, Andreas Ragoschke-Schumm, Thomas Bertsch, and James Grotta.
    • Department of Neurology, Saarland University Medical Center, Homburg, Saarland, Germany Klaus.Fassbender@uks.eu.
    • J. Neurol. Neurosurg. Psychiatr. 2021 May 25; 92 (8): 815822815-22.

    AbstractSince its first introduction in clinical practice in 2008, the concept of mobile stroke unit enabling prehospital stroke treatment has rapidly expanded worldwide. This review summarises current knowledge in this young field of stroke research, discussing topics such as benefits in reduction of delay before treatment, vascular imaging-based triage of patients with large-vessel occlusion in the field, differential blood pressure management or prehospital antagonisation of anticoagulants. However, before mobile stroke units can become routine, several questions remain to be answered. Current research, therefore, focuses on safety, long-term medical benefit, best setting and cost-efficiency as crucial determinants for the sustainability of this novel strategy of acute stroke management.© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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