Evidence map›Paper›PMID 40145679›Full record

ArticleEuropean stroke journal2025

Optimizing mobile stroke unit deployment: A strategic case study in the greater Oslo area.

Berend Markhorst, Caroline Jagtenberg, Maren Ranhoff Hov, Rob van der Mei, Karianne Larsen

Erratum issuedAbstract read
In one paragraph

Article in European stroke journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Selection of helicopter bases and transport modes to minimize pre-hospital times in Iceland.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025
    Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Berend MarkhorstVrije Universiteit, Amsterdam, The Netherlands.ORCID 0000-0002-3383-6862
Caroline JagtenbergVrije Universiteit, Amsterdam, The Netherlands.ORCID 0000-0002-0742-7707
Maren Ranhoff HovThe Norwegian Air Ambulance Foundation, Oslo, Norway.ORCID 0000-0002-4465-8336
Rob van der MeiVrije Universiteit, Amsterdam, The Netherlands.ORCID 0000-0002-5685-5310
Karianne LarsenThe Norwegian Air Ambulance Foundation, Oslo, Norway.ORCID 0000-0001-5580-4231

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA Mobile Stroke Unit (MSU) enables prehospital acute stroke assessment, which leads to increased treatment rates and improved patient outcomes. However, for optimal utilization of the specialized resource, identifying the proper location for the MSU is crucial. Motivated by this, our goal was to find the optimal placement of an MSU in the greater Oslo area using geospatial mapping, and to explore how the location may influence acute stroke treatment.

methodsHistorical data on suspected and confirmed strokes with the respective geospatial data and calculated travel times were analyzed using a mathematical optimization model based on the Maximum Coverage Location Problem (MCLP) and solved with the Gurobi solver. The model is universal and may be adapted to other regions and countries.

resultsThe optimal base location for a single MSU in the greater Oslo area would increase the coverage of stroke patients by 24%. The rendez-vous approach yields a more than doubled coverage for confirmed stroke patients. In the optimal location, the MSU has the potential to reduce time to thrombolysis by 28 minutes (28%) and time to thrombectomy by around 35 minutes (20%).

conclusionStrategic placement of an MSU in the greater Oslo area significantly increases patient coverage and may reduce treatment times in acute stroke. Geospatial analyses have the potential to aid decision making on MSU location, optimize prehospital acute stroke assessment and improve patient outcomes.

Indexed as

Emergency Medical ServicesMobile Health UnitsStrokeHumansNorwayThrombectomyThrombolytic TherapyTime-to-Treatmentacute stroke treatmentgeospatial analysesmathematical optimizationMobile stroke unitRendez-vous approachthrombectomythrombolysis

Identifiers

PMID40145679
PMCPMC11951127

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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.