Strukturierte Versorgung verbessert Überlebenschancen – Auch Patienten mit "kleinen" Schlaganfällen in Stroke Units behandeln

Since its first introduction in clinical practice in 2008, the concept of mobile stroke unit enabling prehospital stroke treatment has rapidly expanded worldwide. This review summarises current knowledge in this young field of stroke research, discussing topics such as benefits in reduction of delay before treatment, vascular imaging-based triage of patients with large-vessel occlusion in the field, differential blood pressure management or prehospital antagonisation of anticoagulants. However, before mobile stroke units can become routine, several questions remain to be answered. Current research, therefore, focuses on safety, long-term medical benefit, best setting and cost-efficiency as crucial determinants for the sustainability of this novel strategy of acute stroke management.

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What is the appropriate control arm when testing usefulness of mobile stroke units in improving stroke outcomes?

Interventional Neuroradiology ◽

10.1177/15910199211011865 ◽

2021 ◽

pp. 159101992110118

Author(s):

Mayank Goyal ◽

Rosalie McDonough ◽

Johanna Maria Ospel

Keyword(s):

Stroke Units ◽

Stroke Outcomes

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Burden of Stroke in Myanmar

Cerebrovascular Diseases Extra ◽

10.1159/000515123 ◽

2021 ◽

pp. 49-51

Author(s):

Narayanaswamy Venketasubramanian ◽

Yee Mon Khine ◽

Ohnmar Ohnmar ◽

Myat Po Po Kyaw Khin ◽

Min Thit Win

Keyword(s):

Rural Areas ◽

Mechanical Thrombectomy ◽

Disability Adjusted Life Years ◽

Stroke Units ◽

Disability Adjusted Life ◽

Life Years ◽

Lower Blood ◽

Life Years Lost ◽

Standardized Mortality Rate ◽

Age And Sex

Myanmar is home to over 51 million people. The age- and sex-standardized mortality rate due to stroke is 165.4/100,000, while the rate of age- and sex-standardized disability-adjusted life years lost due to stroke is 2971.3/100,000. The prevalence of stroke among adults aged 40–99 years is 1.5%. Stroke is the leading cause of morbidity and mortality and comprises 20% of the neurological workload. There are only 10 stroke units in the whole country. Doctors are aware of the importance of hypertension in stroke prevention and the need for physiotherapy after stroke, but, until recently and in rural areas, they also tend to use steroids and neuroprotectants, and lower blood pressure aggressively acutely after stroke; antiplatelets are not widely used. Thrombolysis service is available at some tertiary centers but mechanical thrombectomy is not yet available.

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Patients' physical activity in stroke units in Latvia and Sweden

Brain and Behavior ◽

10.1002/brb3.2110 ◽

2021 ◽

Author(s):

Agnese Kārkliņa ◽

Erik Chen ◽

Guna Bērziņa ◽

Katharina Stibrant Sunnerhagen

Keyword(s):

Physical Activity ◽

Stroke Units

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COVID-19: patients with stroke or risk of stroke

European Heart Journal Supplements ◽

10.1093/eurheartj/suaa174 ◽

2020 ◽

Vol 22 (Supplement_P) ◽

pp. P25-P28

Author(s):

Hans-Christoph Diener ◽

Peter Berlit ◽

Jaime Masjuan

Keyword(s):

Coagulation Disorders ◽

Stroke Patients ◽

Stroke Units ◽

Large Brain ◽

Unfavourable Prognosis ◽

Temporary Decrease

Abstract In the context of COVID-19 infection, 0.5–2% of affected patients will suffer a stroke. The strokes are usually severe with an unfavourable prognosis. Most patients suffer from occlusion of the large brain-supplying arteries caused by the COVID-19 induced coagulation disorders. In the context of COVID-19 infection, there has been a dramatic temporary decrease in the number of stroke patients treated in stroke units.

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