Comparing performance measures and clinical outcomes between mobile stroke units and usual care in underserved areas

• DOI: 10.1007/s10072-022-06550-6
• Publication Date: 2022-12-14T15:02:52Z
• Authors: Yongchai Nilanont; Pornchai Chanyagorn; Karuna Shukij; Waitayaporn Pengtong; Mananchaya Kongmu...; Kanokkarn Wongmay...; Kittiya Nittayaboon; Yodchanan Wongsawat; Ronnachai Sirovet...; Tipa Chakorn; Sattha Riyapan; Chitapa Kaveeta; Songkram Chotik-a...; Trongtum Tongdee; Ploypailin Thabmo...; Porntep Saeheng; Cherdchai Nopmane...; Visit Vamvanij
• Keywords: Stroke; Neuroradiology

The efficacy of mobile stroke units (MSUs) in improving acute ischemic (AIS) care developing countries is unknown. We compared performance measures and outcomes AIS patients between MSU usual care: emergency medical services (EMS) walk-in.We enrolled > 18 years age with an within 4.5 h after onset. Demographic data, types, time reperfusion therapies clinical were recorded. A favorable outcome was defined as a modified Rankin Scale (mRS) 0-2 at 3 months.A total 978 (MSU = 243, EMS 214, walk-in 521) June 1, 2018, April 30, 2021. mean (± SD) 66 14) years, 510 (52.1%) male. metrics the shortest door to needle (DN) 20 7), 29 13), 35 16) min (p < 0.001) puncture (DP) 73 ± 19, 86 33, 101 42 MSU, EMS, walk-in, respectively. Participants (56.8%) received higher rate therapie(s) when (51.4%) (31.5%) 0.001). After adjustment for any potential confounders using reference, has highest likelihood achieving (adjusted OR 2.15; 95% CI 1.39-3.32).In underserved populations, MSUs significantly reduced DN time, increased receiving treatment, achieved independency months care.