Evidence map›Paper›PMID 29947929›Full record

ArticleDer Radiologe2018

Mobile stroke unit use for prehospital stroke treatment-an update.

S Walter, A Ragoschke-Schumm, M Lesmeister, S A Helwig, M Kettner, I Q Grunwald, K Fassbender

Abstract read
PubMed Publisher
In one paragraph

Article in Der Radiologe, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. A review of mobile stroke units.Journal of neurology · 2021
    Review
  5. Article
  6. Mobile Stroke Units: Bringing Treatment to the Patient.Current treatment options in neurology · 2020
    Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

S WalterDepartment of Neurology, Saarland University, Kirrbergerstraße 1, 66421, Homburg, Germany. silke.walter@uks.eu.
A Ragoschke-SchummDepartment of Neurology, Saarland University, Kirrbergerstraße 1, 66421, Homburg, Germany.
M LesmeisterDepartment of Neurology, Saarland University, Kirrbergerstraße 1, 66421, Homburg, Germany.
S A HelwigDepartment of Neurology, Saarland University, Kirrbergerstraße 1, 66421, Homburg, Germany.
M KettnerDepartment of Neuroradiology, Saarland University, Homburg, Germany.
I Q GrunwaldNeuroscience, Faculty of Medicine, Anglia Ruskin University, Chelmsford, UK.
K FassbenderDepartment of Neurology, Saarland University, Kirrbergerstraße 1, 66421, Homburg, Germany.
Saarland University · DEAnglia Ruskin University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute ischemic stroke is a treatable disease. Moreover, there is increasing evidence supporting mechanical recanalization for large-vessel occlusion, even beyond a strict time window. However, only small numbers of patients receive causal treatment.

methodsOne of the main reasons that patients do not receive causal therapy is their late arrival at the correct target hospital, which, depending on the type of stroke, is either a regional stroke unit or a comprehensive stroke center for interventional treatment. In order to triage patients correctly, a fast and complex diagnostic work-up is necessary, allowing a stroke specialist to decide on the best therapy option. As treatment possibilities become more comprehensive with the need for individualized decisions, the gap between treatment options and practical implementation is increasing.

resultsThe "mobile stroke unit" concept encompasses the administration of prehospital acute stroke diagnostic work-up, therapy initiation, and triage to the correct hospital using a specially equipped ambulance, staffed with a team specialized in stroke. The concept, which was conceived and first put into practice in Homburg/Saar, Germany, in 2008, is currently spreading with more than 20 active mobile stroke unit centers worldwide. The use of mobile stroke units can reduce the time until stroke treatment by 50% with a tenfold increase of patients treated within the first 60 min of symptom onset.

conclusionThe mobile stroke unit concept for acute stroke prehospital management is spreading worldwide. Intensive research is still needed to analyze the best setting for prehospital stroke management.

Indexed as

Emergency Medical ServicesStrokeAmbulancesGermanyHumansAmbulancePrehospital diagnosisThrombolytic therapyTissue plasminogen activatorTriage

Identifiers

PMID29947929
OpenAlexW2805876988

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.