Prospective, Multicenter, Controlled Trial of Mobile Stroke Units

Mobile stroke units have CT scanners and personnel trained to administer tissue plasminogen activator. In a multicity trial, functional outcomes at 90 days after acute stroke were better with mobile stroke units than with standard care by emergency medical services and transfer to an emergency depar...

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Veröffentlicht in:	The New England journal of medicine 2021-09, Vol.385 (11), p.971-981
Hauptverfasser:	Grotta, James C, Yamal, Jose-Miguel, Parker, Stephanie A, Rajan, Suja S, Gonzales, Nicole R, Jones, William J, Alexandrov, Anne W, Navi, Babak B, Nour, May, Spokoyny, Ilana, Mackey, Jason, Persse, David, Jacob, Asha P, Wang, Mengxi, Singh, Noopur, Alexandrov, Andrei V, Fink, Matthew E, Saver, Jeffrey L, English, Joey, Barazangi, Nobl, Bratina, Patti L, Gonzalez, Michael, Schimpf, Brandi D, Ackerson, Kim, Sherman, Carla, Lerario, Mackenzie, Mir, Saad, Im, Jenny, Willey, Josh Z, Chiu, David, Eisshofer, Michael, Miller, Janice, Ornelas, David, Rhudy, James P, Brown, Kevin M, Villareal, Bryan M, Gausche-Hill, Marianne, Bosson, Nichole, Gilbert, Greg, Collins, Sarah Q, Silnes, Kelly, Volpi, Jay, Misra, Vivek, McCarthy, James, Flanagan, Tom, Rao, Chethan P.V, Kass, Joseph S, Griffin, Laura, Rangel-Gutierrez, Nicole, Lechuga, Edgar, Stephenson, Jonathan, Phan, Kenny, Sanders, Yvette, Noser, Elizabeth A, Bowry, Ritvij
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Ambulances Computed tomography Critical Care Critical Care General Disability Evaluation Emergency Medical Services Emergency Medicine Emergency services Enrollments Female Hemorrhage Humans Ischemic Stroke - complications Ischemic Stroke - diagnostic imaging Ischemic Stroke - drug therapy Laboratories Male Middle Aged Mobile Health Units Neurology Neurosurgery Odds Ratio Patient-centered care Patients Pulmonary Questionnaires Severity of Illness Index Stroke t-Plasminogen activator Teams Time-to-Treatment Tissue Plasminogen Activator - therapeutic use Tomography, X-Ray Computed
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Beschreibung
Zusammenfassung:	Mobile stroke units have CT scanners and personnel trained to administer tissue plasminogen activator. In a multicity trial, functional outcomes at 90 days after acute stroke were better with mobile stroke units than with standard care by emergency medical services and transfer to an emergency department.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMoa2103879