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Current Neurology and Neuroscience Reports
Published in: Current Neurology and Neuroscience Reports 1/2022

01-01-2022 | Stroke | Stroke (B. Ovbiagele, Section Editor)

Mobile Stroke Units: Current Evidence and Impact

Authors: Praveen Hariharan, Muhammad Bilal Tariq, James C. Grotta, Alexandra L. Czap

Published in: Current Neurology and Neuroscience Reports | Issue 1/2022

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Abstract

Purpose of Review

Several approaches have been developed to optimize prehospital systems for acute stroke given poor access and significant delays to timely treatment. Specially equipped ambulances that directly initiate treatment, known as Mobile Stroke Units (MSUs), have rapidly proliferated across the world. This review provides a comprehensive summary on the efficacy of MSUs in acute stroke, its various applications beyond thrombolysis, as well as the establishment, optimal setting and cost-effectiveness of incorporating an MSU into healthcare systems.

Recent Findings

MSUs speed stroke treatment into the first “golden hour” when better outcomes from thrombolysis are achieved. While evidence for the positive impact of MSUs on outcomes was previously unavailable, two recent landmark controlled trials, B_PROUD and BEST-MSU, show that MSUs result in significantly lesser disability compared to conventional ambulance care.

Summary of Review

Emerging literature prove the significant impact of MSUs. Adaptability however remains limited by significant upfront financial investment, challenges with reimbursements and pending evidence on their cost-effectiveness.
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Metadata
Title
Mobile Stroke Units: Current Evidence and Impact
Authors
Praveen Hariharan
Muhammad Bilal Tariq
James C. Grotta
Alexandra L. Czap
Publication date
01-01-2022
Publisher
Springer US
Published in
Current Neurology and Neuroscience Reports / Issue 1/2022
Print ISSN: 1528-4042
Electronic ISSN: 1534-6293
DOI
https://doi.org/10.1007/s11910-022-01170-1

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