“Mobile stroke unit” saves people’s lives

Thursday, March 18, 2021 (HealthDay News)

Time is less valuable than the minutes after a stroke. Research is now confirming that a “mobile stroke unit” can quickly help patients and save lives.

“Patients treated early benefit from completely reversing stroke symptoms and avoiding disability,” said lead study author Dr. James Grotta. He is responsible for stroke research at the Clinical Institute at the Memorial Hermann Texas Medical Center in Houston. “This suggests that in the first hour after a stroke, the brain is not yet irreversibly damaged and is very damaged. It is easy to receive effective treatment.” Told.

A mobile stroke unit is a special ambulance equipped to quickly diagnose and treat a stroke.

When treating patients with ischemic stroke (caused by blood clots that block blood flow to the brain), these units should immediately administer a clot-dissolving tissue plasminogen activator (tPA) drug. You can also.

In this study, stroke patients treated with a mobile stroke unit received thrombolytics faster, more frequently, and significantly improved recovery than patients who received regular emergency treatment in a standard ambulance. I found out that it was done.

In this study, researchers included 1,047 tPA patients who were transferred to the hospital’s emergency department by either a mobile stroke unit (617 patients) or a standard ambulance (430 patients). We analyzed data from patients.

The hospital was in Houston. New York City; Indianapolis; Los Angeles; Memphis, Tennessee. Aurora, Colorado. Burlingame, CA.

Overall, 97% of patients transported by mobile stroke units received tPA, while 80% of patients transported to the emergency department by regular ambulance received tPA.

One-third of patients transported by mobile stroke units were treated within an hour of the onset of stroke symptoms, compared to 3% of patients transported by standard ambulances.

A study published Wednesday at the American Stroke Association’s online conference found that 53% of mobile unit patients recovered completely within three months, compared to 43% of patients transported by standard ambulance. ..

“Our results show that, on average, for every 100 patients treated with a mobile stroke unit rather than a standard ambulance, 27 have fewer final disabilities, and 11 of 27 have less. It means no obstacles, “Grotta said in a news release at the conference.

“But for this to happen, patients, caregivers, and bystanders need to be aware of the signs of a stroke and call 911 immediately,” he added.

Studies presented at the conference should be considered preliminary until published in a peer-reviewed journal.

For more information

The US Centers for Disease Control and Prevention details the treatment of stroke.

Source: American Stroke Association, News Release, March 17, 2021

Robert Prite

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