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Mobile Stroke Units: Bringing Treatment to the Patient.

TitleMobile Stroke Units: Bringing Treatment to the Patient.
Publication TypeJournal Article
Year of Publication2020
AuthorsEhntholt MS, Parasram M, Mir SA, Lerario MP
JournalCurr Treat Options Neurol
Volume22
Issue2
Pagination5
Date Published2020 Feb 06
ISSN1092-8480
Abstract

PURPOSE OF REVIEW: Mobile stroke units (MSUs) have revolutionized emergency stroke care by delivering pre-hospital thrombolysis faster than conventional ambulance transport and in-hospital treatment. This review discusses the history of MSUs technological development, current operations and research, cost-effectiveness, and future directions.

RECENT FINDINGS: Multiple prospective and retrospective studies have shown that MSUs deliver acute ischemic stroke treatment with intravenous recombinant tissue plasminogen activator (IV r-tPA) approximately 30 min faster than conventional care. The 90-day modified Rankin Scores for patients who received IV r-tPA on the MSU compared to conventional care were not statistically different in the PHANTOM-S study. Two German studies suggest that the MSU model is cost-effective by reducing disability and improving adjusted quality-life years post-stroke. The ongoing BEST-MSU trial will be the first multicenter, randomized controlled study that will shed light on MSUs' impact on long-term neurologic outcomes and cost-effectiveness. MSUs are effective in reducing treatment times in acute ischemic stroke without increasing adverse events. MSUs could potentially improve treatment times in large vessel occlusion and intracranial hemorrhage. Further studies are needed to assess functional outcomes and cost-effectiveness. Clinical trials are ongoing internationally.

DOI10.1007/s11940-020-0611-0
Alternate JournalCurr Treat Options Neurol
PubMed ID32025945

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