ReviewFrontiers in neurology2019
Improving Prehospital Stroke Services in Rural and Underserved Settings With Mobile Stroke Units.
Review in Frontiers in neurology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.
- Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta-analysis.Brain and behavior · 2020Pooled it
- Effectiveness of a District-Level Comprehensive Acute Stroke Care Model for Management of Patients With Acute Stroke in Karnataka: Protocol for a Quasi-Experimental Study.JMIR research protocols · 2026Article
- Evaluating the Impact of a System-Wide Prehospital Teleconsultation on Rural Stroke Transportation Efficiency.Stroke (Hoboken, N.J.) · 2026Article
- Status of emergency medical service use for acute ischemic stroke in China.Scientific reports · 2026Article
- CFAST: a simplified and culturally adapted stroke education tool for Chinese communities.Frontiers in stroke · 2026Article
- Prehospital thrombolytic treatment of acute ischemic stroke using a remotely controlled CT scanner.Scientific reports · 2025Article
- Prehospital stroke care in low- and middle-income countries: A World Stroke Organization (WSO) scientific statement.International journal of stroke : official journal of the International Stroke Society · 2025Review
- A scoping review of the utilization of mobile stroke units in low and lower middle-income countries: current evidence, implications and future direction.BMC health services research · 2025Article
- Patients Residing in Rural Areas Transferred for Mechanical Thrombectomy Undergo Decreased Catheter-Based Treatment.Stroke (Hoboken, N.J.) · 2025Article
- Does the Implementation of a Telestroke Program Play a Role in Improving the Clinical Outcomes of Acute Stroke Patients in South East Asian Region?: A Literature Review.Risk management and healthcare policy · 2025Review
- The specialization of emergency medical services in Iran: A qualitative study.Journal of education and health promotion · 2025Article
- The Urban-Rural Divide in Neurocritical Care in Low-Income and Middle-Income Countries.Neurocritical care · 2024Article
- Review
- Global Insights on Prehospital Stroke Care: A Comprehensive Review of Challenges and Solutions in Low- and Middle-Income Countries.Journal of clinical medicine · 2024Review
- Review of Microwave Near-Field Sensing and Imaging Devices in Medical Applications.Sensors (Basel, Switzerland) · 2024Review
- Physiological Variability during Prehospital Stroke Care: Which Monitoring and Interventions Are Used?Healthcare (Basel, Switzerland) · 2024Review
- Addressing Disparities in Acute Stroke Management and Prognosis.Journal of the American Heart Association · 2024Review
- Review
- Editorial: Telestroke and stroke care networks beyond the comprehensive stroke center.Frontiers in stroke · 2024Article
- Clinical characteristic of a Haitian stroke cohort and a scoping review of the literature of stroke among the Haitian population.Journal of clinical and translational research · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In acute stroke management, time is brain, as narrow therapeutic windows for both intravenous thrombolysis and mechanical thrombectomy depend on expedient and specialized treatment. In rural settings, patients are often far from specialized treatment centers. Concurrently, financial constraints, cutting of services and understaffing of specialists for many rural hospitals have resulted in many patients being underserved. Mobile Stroke Units (MSU) provide a valuable prehospital resource to rural and remote settings where patients may not have easy access to in-hospital stroke care. In addition to standard ambulance equipment, the MSU is equipped with the necessary tools for diagnosis and treatment of acute stroke or similar emergencies at the emergency site. The MSU strategy has proven to be effective at facilitating time-saving stroke triage decisions. The additional on-board imaging helps to determine whether a patient should be taken to a primary stroke center (PSC) for standard treatment or to a comprehensive stroke center (CSC) for advanced stroke treatment (such as intra-arterial therapy) instead. Diagnosis at the emergency site may prevent additional in-hospital delays in workup, handover and secondary (inter-hospital) transport. MSUs may be adapted to local needs-especially in rural and remote settings-with adjustments in staffing, ambulance configuration, and transport models. Further, with advanced imaging and further diagnostic capabilities, MSUs provide a valuable platform for telemedicine (teleradiology and telestroke) in these underserved areas. As MSU programmes continue to be implemented across the world, optimal and adaptable configurations could be explored.
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Registered trials
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.