Big fucking whoopee.
You still don't know EXACTLY how fast tPA has to be delivered to get 100% recovery. The only goal in stroke is 100% recovery. WHAT THE HELL ARE YOU DOING TO GET THERE? Quit trying to push your tyranny of low expectations on stroke survivors. Will you accept such low expectations when YOU become the 1 in 4 per WHO that has a stroke?
Mobile stroke units 30 minutes faster than conventional ambulance
Mobile
stroke units operating in the densely populated area of Manhattan, New
York, can reduce the dispatch-to-thrombolysis time by 30 minutes
compared with patients transported via conventional ambulance, and
patients have a shorter average ride.
According to the findings published in the Journal of the American Heart Association, mobile stroke units operating in Manhattan had a shorter dispatch-to-thrombolysis time compared with conventional ambulance (mean, 61.2 vs. 92.6 minutes; P = .001).
Moreover, patients experiencing ischemic stroke were more likely to
be picked up closer to a greater number of designated stroke centers
within a 2-mile radius (4.8 vs. 2.7; P = .002).
According to the study, mobile stroke unit care was associated with a mean decrease in dispatch-to-thrombolysis time of 29.7 minutes (95% CI, 6.9-52.5) compared with conventional ambulance.
“When it comes to stroke treatment, 30 minutes can be the difference between making a full recovery from a stroke and living independently, or becoming disabled and needing help with the activities of daily living,” Matthew E. Fink, MD, chair of neurology and the Louis and Gertrude Feil Professor in Clinical Neurology at Weill Cornell Medicine in New York and neurologist-in-chief at NewYork-Presbyterian/Weill Cornell Medical Center, said in a press release. “The faster patients receive alteplase, the more likely they are to recover quickly and with fewer complications.”
In other findings, patients picked up by a mobile stroke unit experienced a mean increase in dispatch-to-ambulance arrival time of 6.5 minutes (95% CI, 2.4-10.6), which was offset by a mean decrease in ambulance arrival-to-thrombolysis time of 36.2 minutes (95% CI, –58.5 to –13.9), according to the study.
“This study provides further evidence suggesting a potential role for
mobile stroke units in dense urban areas to increase our ability to
treat stroke patients faster,” Lee H. Schwamm, MD,
executive vice chairman of neurology and director of the MGH
Comprehensive Stroke Center at Massachusetts General Hospital, said in
the release. “This study joins a large body of efforts to improve how we
swiftly recognize, triage, transport and treat patients with stroke,
which is the ultimate goal.”
Design and limitations
Researchers assessed 66 patients with suspected acute ischemic stroke who were transported by a bi-institutional mobile stroke unit operating in Manhattan between October 2016 and September 2017 and compared their experiences with 19 patients picked up via conventional ambulance during hours of mobile stroke unit operation (Monday-Friday, 9 a.m.-5 p.m.).
According to the findings published in the Journal of the American Heart Association, mobile stroke units operating in Manhattan had a shorter dispatch-to-thrombolysis time compared with conventional ambulance (mean, 61.2 vs. 92.6 minutes; P = .001).
According to the study, mobile stroke unit care was associated with a mean decrease in dispatch-to-thrombolysis time of 29.7 minutes (95% CI, 6.9-52.5) compared with conventional ambulance.
“When it comes to stroke treatment, 30 minutes can be the difference between making a full recovery from a stroke and living independently, or becoming disabled and needing help with the activities of daily living,” Matthew E. Fink, MD, chair of neurology and the Louis and Gertrude Feil Professor in Clinical Neurology at Weill Cornell Medicine in New York and neurologist-in-chief at NewYork-Presbyterian/Weill Cornell Medical Center, said in a press release. “The faster patients receive alteplase, the more likely they are to recover quickly and with fewer complications.”
In other findings, patients picked up by a mobile stroke unit experienced a mean increase in dispatch-to-ambulance arrival time of 6.5 minutes (95% CI, 2.4-10.6), which was offset by a mean decrease in ambulance arrival-to-thrombolysis time of 36.2 minutes (95% CI, –58.5 to –13.9), according to the study.
Lee H. Schwamm
Design and limitations
Researchers assessed 66 patients with suspected acute ischemic stroke who were transported by a bi-institutional mobile stroke unit operating in Manhattan between October 2016 and September 2017 and compared their experiences with 19 patients picked up via conventional ambulance during hours of mobile stroke unit operation (Monday-Friday, 9 a.m.-5 p.m.).
No comments:
Post a Comment