Evidence map›Paper›PMID 32295510›Full record

ArticleStroke2020

Mobile Stroke Unit Computed Tomography Angiography Substantially Shortens Door-to-Puncture Time.

Alexandra L Czap, Noopur Singh, Ritvij Bowry, Amanda Jagolino-Cole, Stephanie A Parker, Kenny Phan, Mengxi Wang, Sunil A Sheth, Suja S Rajan, Jose-Miguel Yamal and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Stroke, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.7field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
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  5. Observational
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Comparing performance measures and clinical outcomes between mobile stroke units and usual care in underserved areas.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  11. Optimizing Door-to-Groin Puncture Time: The Mayo Clinic Experience.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022
    Article
  12. Article
  13. Article
  14. Article
  15. Mobile Stroke Units: Current Evidence and Impact.Current neurology and neuroscience reports · 2022
    Review
  16. Endovascular Treatment of Acute Stroke.Current neurology and neuroscience reports · 2022
    Review
  17. A review of mobile stroke units.Journal of neurology · 2021
    Review
  18. Impact of mobile stroke units.Journal of neurology, neurosurgery, and psychiatry · 2021
    Review
  19. Article
  20. Article
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

11 authors at 2 institutions in 1 country.

Alexandra L CzapFrom the Department of Neurology, McGovern Medical School (A.L.C., R.B., A.J.-C., S.A.P, K.P., S.A.S.), University of Texas Health Science Center, Houston.
Noopur SinghDepartment of Biostatistics and Data Science, School of Public Health (N.S., M.W., J.-M.Y.), University of Texas Health Science Center, Houston.
Ritvij BowryFrom the Department of Neurology, McGovern Medical School (A.L.C., R.B., A.J.-C., S.A.P, K.P., S.A.S.), University of Texas Health Science Center, Houston.
Amanda Jagolino-ColeFrom the Department of Neurology, McGovern Medical School (A.L.C., R.B., A.J.-C., S.A.P, K.P., S.A.S.), University of Texas Health Science Center, Houston.
Stephanie A ParkerFrom the Department of Neurology, McGovern Medical School (A.L.C., R.B., A.J.-C., S.A.P, K.P., S.A.S.), University of Texas Health Science Center, Houston.
Kenny PhanFrom the Department of Neurology, McGovern Medical School (A.L.C., R.B., A.J.-C., S.A.P, K.P., S.A.S.), University of Texas Health Science Center, Houston.
Mengxi WangDepartment of Biostatistics and Data Science, School of Public Health (N.S., M.W., J.-M.Y.), University of Texas Health Science Center, Houston.
Sunil A ShethFrom the Department of Neurology, McGovern Medical School (A.L.C., R.B., A.J.-C., S.A.P, K.P., S.A.S.), University of Texas Health Science Center, Houston.
Suja S RajanDepartment of Management, Policy and Community Health, School of Public Health (S.S.R.), University of Texas Health Science Center, Houston.
Jose-Miguel YamalDepartment of Biostatistics and Data Science, School of Public Health (N.S., M.W., J.-M.Y.), University of Texas Health Science Center, Houston.
James C GrottaMobile Stroke Unit and Stroke Research, Clinical Innovation and Research Institute, Memorial Hermann Hospital, Houston, TX (J.C.G.).
The University of Texas Health Science Center at Houston · USMemorial Hermann · US

Funding

THE UNIVERSITY OF TEXAS HOUSTON STROKE TRAINING PROGRAMT32NS007412 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI SAVITZ, SEAN I · 1998 to 2023
$4.6M
NINDS NIH HHS T32 NS007412
6 · The paper itself

Abstract

Background and Purpose- Endovascular thrombectomy (ET) door-to-puncture time (DTPT) is a modifiable metric. One of the most important, yet time-consuming steps, is documentation of large vessel occlusion by computed tomography angiography (CTA). We hypothesized that obtaining CTA on board a Mobile Stroke Unit and direct alert of the ET team shortens DTPT by over 30 minutes. Methods- We compared DTPT between patients having CTA onboard the Mobile Stroke Unit then subsequent ET from September 2018 to November 2019 and patients in Mobile Stroke Unit from August 2014 to August 2018, when onboard CTA was not yet being used. We also correlated DTPT with change in National Institutes of Health Stroke Scale between baseline and 24 hours. Results- Median DTPT was 53.5 (95% CI, 35-67) minutes shorter with onboard CTA and direct ET team notification: 41 minutes (interquartile range, 30.0-63.5) versus 94.5 minutes (interquartile range, 69.8-117.3;

Indexed as

Endovascular ProceduresMobile Health UnitsThrombectomyAgedAged, 80 and overComputed Tomography AngiographyEmergency Medical ServicesFemaleHumansMaleMiddle AgedStrokeThrombolytic TherapyTime-to-Treatmentcomputed tomography angiographyemergency medical servicesmobile health unitstrokethrombectomy

Identifiers

PMID32295510
PMCPMC7188560
OpenAlexW3017020963

What OpenQuestion holds

Textmetadata
LicenceTDM
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.