Treatment first, transport second: rethinking stroke management with mobile stroke units—A systematic review and meta-analysis of controlled trials - Scorecard - MDSpire
Clinical Scorecard: Prioritizing Treatment Over Transport: A Systematic Review and Meta-Analysis of Controlled Trials on Mobile Stroke Units in Stroke Management
At a Glance
Category
Detail
Condition
Stroke
Key Mechanisms
Mobile stroke units (MSUs) reduce critical time intervals in acute stroke care by providing on-site diagnosis and treatment capabilities.
Target Population
Patients with suspected acute stroke.
Care Setting
Prehospital environment with mobile stroke units.
Key Highlights
MSUs reduced the pooled median time to treatment by 26.3 minutes compared to traditional EMS.
No significant difference in safety outcomes between MSUs and EMS.
Remote neurologist configurations in MSUs are potentially cost-effective.
Guideline-Based Recommendations
Diagnosis
Utilize MSUs for rapid diagnosis and treatment of suspected acute stroke.
Management
Implement thrombolytic therapy on-site when eligibility criteria are met.
Monitoring & Follow-up
Assess functional recovery and safety profiles in patients treated by MSUs.
Risks
Monitor for intracranial hemorrhage and mortality rates, which showed no significant differences.
Patient & Prescribing Data
Patients with suspected acute stroke requiring timely intervention.
by Aishah Ibrahim Albakr, Ziyad Masoud Alqahtani, Abdulmonem Mohammed AlSharidah, Adel Abdalla Zeidan, Ahmed Abdulrahman Al Ibrahim, Mohammed Abdulmonem Al Zaher, Khurshid Khan
