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Status: Bibliographieeintrag

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Verfasst von:Rink, Johann [VerfasserIn]   i
 Tollens, Fabian [VerfasserIn]   i
 Tschalzev, Andrej [VerfasserIn]   i
 Bartelt, Christian [VerfasserIn]   i
 Heinzl, Armin [VerfasserIn]   i
 Hoffmann, Jens [VerfasserIn]   i
 Schönberg, Stefan [VerfasserIn]   i
 Marzina, Annika [VerfasserIn]   i
 Sandikci, Vesile [VerfasserIn]   i
 Wiegand, Carla [VerfasserIn]   i
 Hoyer, Carolin [VerfasserIn]   i
 Szabo, Kristina [VerfasserIn]   i
Titel:Establishing an MSU service in a medium-sized German urban area - clinical and economic considerations
Verf.angabe:Johann S. Rink, Fabian Tollens, Andrej Tschalzev, Christian Bartelt, Armin Heinzl, Jens Hoffmann, Stefan O. Schoenberg, Annika Marzina, Vesile Sandikci, Carla Wiegand, Carolin Hoyer and Kristina Szabo
E-Jahr:2024
Jahr:29 February 2024
Umfang:9 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 15.08.2024
Titel Quelle:Enthalten in: Frontiers in neurology
Ort Quelle:Lausanne : Frontiers Research Foundation, 2008
Jahr Quelle:2024
Band/Heft Quelle:15(2024), Seite 1-9
ISSN Quelle:1664-2295
Abstract:Background and purpose: Mobile stroke units (MSU) have been demonstrated to improve prehospital stroke care in metropolitan and rural regions. Due to geographical, social and structural idiosyncrasies of the German city of Mannheim, concepts of established MSU services are not directly applicable to the Mannheim initiative. The aim of the present analysis was to identify major determinants that need to be considered when initially setting up a local MSU service. Methods: Local stroke statistics from 2015 to 2021 were analyzed and circadian distribution of strokes and local incidence rates were calculated. MSU patient numbers and total program costs were estimated for varying operating modes, daytime coverage models, staffing configurations which included several resource sharing models with the hospital. Additional case-number simulations for expanded catchment areas were performed. Results: Median time of symptom onset of ischemic stroke patients was 1:00 p.m. 54.3% of all stroke patients were admitted during a 10-h time window on weekdays. Assuming that MSU is able to reach 53% of stroke patients, the average expected number of ischemic stroke patients admitted to MSU would be 0.64 in a 10-h shift each day, which could potentially be increased by expanding the MSU catchment area. Total estimated MSU costs amounted to € 815,087 per annum. Teleneurological assessment reduced overall costs by 11.7%. Conclusion: This analysis provides a framework of determinants and considerations to be addressed during the design process of a novel MSU program in order to balance stroke care improvements with the sustainable use of scarce resources.
DOI:doi:10.3389/fneur.2024.1358145
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.3389/fneur.2024.1358145
 kostenfrei: Volltext: https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2024.1358145/full
 DOI: https://doi.org/10.3389/fneur.2024.1358145
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:acute stroke care
 computerized tomography
 mobile stroke units
 Prehospital stroke care
 Prehospital thrombolysis
K10plus-PPN:1898741530
Verknüpfungen:→ Zeitschrift

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