Multiple studies have shown that MSU can significantly reduce treatment time with a tenfold increase of patients treated within the first 60 min of symptom onset. Recent preliminary results from the Berlin Prehospital or Usual Delivery of Acute Stroke Care trial (B-PROUD) showed a positive shift in modified Rankin Scale (mRS) scores at 3 months for patients treated in MSUs. Two German studies indicate that the MSU model is cost effective by reducing disability and improving adjusted quality-life years after stroke. The MSU model for prehospital management of acute stroke is spreading worldwide. More research is needed, however, to establish cost-effectiveness, efficacy and best setting for prehospital stroke management.
Keyphrases
- cardiac arrest
- trauma patients
- atrial fibrillation
- emergency medical
- quality improvement
- case control
- palliative care
- multiple sclerosis
- clinical trial
- study protocol
- pain management
- phase iii
- randomized controlled trial
- phase ii
- cerebral ischemia
- brain injury
- combination therapy
- affordable care act
- blood brain barrier