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Title: Mobile Stroke Units Facilitate Prehospital Management of Intracerebral Hemorrhage.
Austin Authors: Cooley, S Regan;Zhao, Henry;Campbell, Bruce C V;Churilov, Leonid ;Coote, Skye;Easton, Damien;Langenberg, Francesca;Stephenson, Michael;Yan, Bernard;Desmond, Patricia M;Mitchell, Peter J;Parsons, Mark W;Donnan, Geoffrey A ;Davis, Stephen M;Yassi, Nawaf
Affiliation: Department of Radiology, Royal Melbourne Hospital, University of Melbourne, Australia
Departments of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Australia
Population Health and Immunity Division, The Walter and Eliza Hall Institute of Medical Research, Australia
Ambulance Victoria. Australia
Medicine (University of Melbourne)
Ambulance Victoria. Australia
Issue Date: 2021
Date: 2021-06-30
Publication information: Stroke 2021; 52(10): 3163-3166
Abstract: Mobile stroke units (MSUs) improve reperfusion therapy times in acute ischemic stroke (AIS). However, prehospital management options for intracerebral hemorrhage (ICH) are less established. We describe the initial Melbourne MSU experience in ICH. Consecutive patients with ICH and AIS treated by the Melbourne MSU were included. We describe demographics, proportions of patients receiving specific therapies, and bypass to comprehensive/neurosurgical centers. We also compare operational time metrics between patients with MSU-ICH and MSU-AIS. During a 2-year period, the Melbourne MSU managed 49 patients with ICH, mean (SD) age 74 (12) years, median (interquartile range) National Institutes of Health Stroke Scale 17 (12-20). Intravenous antihypertensives were the commonest treatment provided (46.9%). Bypass of a primary center to a comprehensive center with neurosurgical expertise occurred in 32.7% of patients with MSU-ICH compared with 20.5% of patients with MSU-AIS. Compared with patients with MSU-AIS, patients with MSU-ICH had faster onset-to-emergency-call, and onset-to-scene-arrival times at the median and 75th percentiles. MSUs can facilitate ultra-early ICH diagnosis, management, and triage.
DOI: 10.1161/STROKEAHA.121.034592
Journal: Stroke
PubMed URL: 34187178
Type: Journal Article
Subjects: benchmarking
cerebral hemorrhage
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