将急性脑卒中管理转移至院前环境。
Shifting acute stroke management to the prehospital setting.
机构信息
Center for Stroke Research Berlin, Charité - Universitätsmedizin Berlin.
Klinik für Neurologie, Medical Park Berlin Humboldtmühle.
出版信息
Curr Opin Neurol. 2022 Feb 1;35(1):4-9. doi: 10.1097/WCO.0000000000001012.
PURPOSE OF REVIEW
The earlier the treatment, the better the outcomes after acute ischemic stroke. Optimizing prehospital care bears potential to shorten treatment times. We here review the recent literature on mothership vs. drip-and-ship as well as mobile stroke unit concepts.
RECENT FINDINGS
Mobile stroke units result in the shortest onset-to-treatment times in mostly urban settings.
SUMMARY
Future research should focus on further streamlining processes around mobile stroke units, especially improving dispatch algorithms and improve referral for endovascular therapy.
目的综述
急性缺血性脑卒中后，治疗越早，结果越好。优化院前护理有可能缩短治疗时间。我们在此综述了母船与滴注-转运以及移动卒中单元概念的最新文献。
最近的发现
移动卒中单元在大多数城市环境中导致最短的发病至治疗时间。
总结
未来的研究应集中在进一步简化移动卒中单元周围的流程，特别是改进调度算法和提高血管内治疗的转诊率。
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