Mobile stroke unit for diagnosis-based triage of persons with suspected stroke.

BACKGROUND: In this feasibility study, we tested whether prehospital diagnostic stroke workup enables rational decision-making regarding treatment and the target hospital in persons with suspected stroke. METHODS: A mobile stroke unit that delivers imaging (including multimodal brain imaging with C...

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書目詳細資料
Main Authors: Kostopoulos, P, Walter, S, Haass, A, Papanagiotou, P, Roth, C, Yilmaz, U, Körner, H, Alexandrou, M, Viera, J, Dabew, E, Ziegler, K, Schmidt, K, Kubulus, D, Grunwald, I, Schlechtriemen, T, Liu, Y, Volk, T, Reith, W, Fassbender, K
格式: Journal article
語言:English
出版: 2012
實物特徵
總結:BACKGROUND: In this feasibility study, we tested whether prehospital diagnostic stroke workup enables rational decision-making regarding treatment and the target hospital in persons with suspected stroke. METHODS: A mobile stroke unit that delivers imaging (including multimodal brain imaging with CT angiography and CT perfusion), point-of-care-laboratory analysis, and neurologic expertise directly at the emergency site was analyzed for its use in prehospital diagnosis-based triage of suspected stroke patients. RESULTS: We present 4 complementary cases with suspected stroke who underwent prehospital diagnostic workup that enabled direct diagnosis-based treatment decisions and reliable triage regarding the most appropriate medical facility for that individual, e.g., a primary hospital vs specialized centers of a tertiary hospital. CONCLUSIONS: This preliminary report demonstrates the feasibility of prehospital diagnostic stroke workup for immediate etiology-specific decision-making regarding the necessary time-sensitive stroke treatment and the most appropriate target hospital.