We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

Features Partner Sites Information LinkXpress
Sign In
Advertise with Us

Download Mobile App

Ambulance-Based Mobile Units Avert Strokes, Finds Study

By HospiMedica International staff writers
Posted on 30 Oct 2023
Print article
Image: Mobile stroke units bring the emergency room to the patient (Photo courtesy of NewYork-Presbyterian)
Image: Mobile stroke units bring the emergency room to the patient (Photo courtesy of NewYork-Presbyterian)

Strokes are a major global health concern, being the primary cause of disability and death around the world. For each untreated minute following a stroke, a patient loses about 2 million neurons. In essence, one hour without treatment is equivalent to losing the same number of neurons as one would through over three years of natural aging. Rapid intervention is crucial for reducing brain damage and improving chances of recovery. Now, a new study has shown that administering clot-dissolving medication via a Mobile Stroke Unit (MSU) enhances stroke prevention and full recovery, as compared to standard hospital emergency services.

The collaborative study that included researchers from Weill Cornell Medicine (New York, NY, USA) found that patients treated with an MSU had an 18% chance of averting a stroke, compared to an 11% chance with traditional Emergency Medical Services (EMS). Additionally, 31% of MSU-treated patients showed early symptom resolution within a day following the stroke, compared to 21% with standard EMS. The medication used was tissue plasminogen activator (t-PA), which is injected intravenously to dissolve blood clots blocking arteries to the brain, making quick treatment essential.

Data from multiple centers collected between 2014 and 2020 was analyzed, involving 1,009 patients. Of these, 644 were administered t-PA through an MSU, while 365 received standard EMS care. On average, t-PA was given 87 minutes after stroke symptoms appeared. The study revealed that about one in four patients with suspected strokes showed recovery within the first 24 hours when t-PA was administered within this period, and one in six experienced no lasting brain injury, as confirmed by MRI scans.

Patients receiving MSU-based care had better outcomes mainly because the treatment started 37 minutes sooner compared to those treated by EMS. This speedier administration of t-PA within the vital first hour greatly enhanced the likelihood of averting a stroke and helped nearly a third of the patients to return to normal within a day. The study also highlighted other variables contributing to favorable outcomes, such as treatment within the initial 45 minutes, being younger in age, female, a history of high cholesterol, lower blood pressure, lower severity of the stroke, and absence of large blood vessel blockages.

“Such studies will hopefully lead to a shift in regulations and reimbursements, and how MSUs are led, managed and integrated within emergency medical services,” said Dr. Babak Benjamin Navi at Weill Cornell who is now working on a study to evaluate the cost-effectiveness of MSUs.

Related Links:
Weill Cornell Medicine 

Gold Member
Disposable Protective Suit For Medical Use
Disposable Protective Suit For Medical Use
Gold Member
STI Test
Vivalytic Sexually Transmitted Infection (STI) Array
Silver Member
Wireless Mobile ECG Recorder
Alternating Pressure System
Nimbus 4

Print article


Surgical Techniques

view channel
Image: New studies suggest benefit of total robotic metabolic and bariatric surgery over conventional laparoscopy (Photo courtesy of 123RF)

Total Robotic Metabolic and Bariatric Surgery Proves More Beneficial than Conventional Laparoscopy

According to the U.S. Centers for Disease Control and Prevention (CDC), 42.4% of Americans are affected by obesity. Research indicates that obesity can compromise the immune system, trigger chronic inflammation,... Read more

Patient Care

view channel
Image: The portable, handheld BeamClean technology inactivates pathogens on commonly touched surfaces in seconds (Photo courtesy of Freestyle Partners)

First-Of-Its-Kind Portable Germicidal Light Technology Disinfects High-Touch Clinical Surfaces in Seconds

Reducing healthcare-acquired infections (HAIs) remains a pressing issue within global healthcare systems. In the United States alone, 1.7 million patients contract HAIs annually, leading to approximately... Read more

Health IT

view channel
Image: First ever institution-specific model provides significant performance advantage over current population-derived models (Photo courtesy of Mount Sinai)

Machine Learning Model Improves Mortality Risk Prediction for Cardiac Surgery Patients

Machine learning algorithms have been deployed to create predictive models in various medical fields, with some demonstrating improved outcomes compared to their standard-of-care counterparts.... Read more

Point of Care

view channel
Image: POCT offers cost-effective, accessible, and immediate diagnostic solutions (Photo courtesy of Flinders University)

POCT for Infectious Diseases Delivers Laboratory Equivalent Pathology Results

On-site pathology tests for infectious diseases in rural and remote locations can achieve the same level of reliability and accuracy as those conducted in hospital laboratories, a recent study suggests.... Read more
Copyright © 2000-2024 Globetech Media. All rights reserved.