A new concept in stroke emergency care is to bring specialized units and neuroimaging facilities to the patient in order to reduce time to treatment. But does this strategy have an effect on stroke outcome, and is the cost of these units worth the time saved?
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References
Kjellström, T., Norrving, B. & Shatchkute, A. Helsingborg declaration 2006 on European stroke strategies. Cerebrovasc. Dis. 23, 231–241 (2007).
Fuentes, B. & Díez-Tejedor, E. Stroke units: many questions, some answers. Intl. J. Stroke 4, 28–37 (2009).
Saver, J. L. Time is brain—quantified. Stroke 37, 263–266 (2006).
The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. Tissue plasminogen activator for acute ischaemic stroke. N. Engl J. Med. 333, 1581–1587 (1995).
Hacke, W. et al. Thrombolysis with alteplase 3 to 4.5 hours after acute ischaemic stroke. N. Engl. J. Med. 359, 1317–1329 (2008).
Walter, S. et al. Diagnosis and treatment of patients with stroke in a mobile stroke unit versus in hospital: a randomised controlled trial. Lancet Neurol. 11, 397–404 (2012).
de Leciñana-Cases, M. A., Gil-Núñez, A. & Díez-Tejedor, E. Relevance of stroke code, stroke unit and stroke networks in organization of acute stroke care—the Madrid acute stroke care program. Cerebrovasc. Dis. 27 (Suppl. 1), 140–147 (2009).
Walter, S. et al. Point-of-care laboratory halves door-to-therapy-decision time in acute stroke. Ann. Neurol. 69, 581–586 (2011).
Müller-Barna, P., Schwamm, L. H. & Haberl, R. L. Telestroke increases use of acute stroke therapy. Curr. Opin. Neurol. 25, 5–10 (2012).
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We thank J. Siegfried (ServingMED) for editorial assistance.
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Díez-Tejedor, E., Fuentes, B. Bringing care to the patient—quick treatment at any cost?. Nat Rev Neurol 8, 362–363 (2012). https://doi.org/10.1038/nrneurol.2012.114
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DOI: https://doi.org/10.1038/nrneurol.2012.114
