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Open Access

Mobile stroke care expedites intravenous thrombolysis and endovascular thrombectomy

Matthew T Bender, Thomas K Mattingly, Redi Rahmani, Diana Proper, Walter A Burnett, Jason L Burgett, Joshua LEsperance, Jeremy T Cushman, Webster H Pilcher, Curtis G Benesch, Adam G Kelly, Tarun Bhalla
DOI: 10.1136/svn-2021-001119 Published 24 June 2022
Matthew T Bender
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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Thomas K Mattingly
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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Redi Rahmani
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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Diana Proper
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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Walter A Burnett
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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Jason L Burgett
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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Joshua LEsperance
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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Jeremy T Cushman
2 Department of Emergency Medicine, University of Rochester Medical Center, Rochester, New York, USA
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Webster H Pilcher
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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Curtis G Benesch
3 Department of Neurology, University of Rochester Medical Center, Rochester, New York, USA
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Adam G Kelly
3 Department of Neurology, University of Rochester Medical Center, Rochester, New York, USA
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Tarun Bhalla
1 Department of Neurosurgery, University of Rochester Medical Center, Rochester, New York, USA
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    Figure 1

    Geographic distribution by zip code of patients receiving intravenous tPA or undergoing endovascular thrombectomy triaged by EMS (left) versus MSU (right). EMS, emergency medical service; MSU, mobile stroke unit; tPA, tissue plasminogen activator.

  • Figure 2
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    Figure 2

    Average time from emergency alert to tPA administration for patients triaged by mobile stroke unit versus traditional EMS services (p<0.0001, left). Distribution of modified Rankin Scale at 90-day clinic follow-up for patients with premorbid mRS 0–2 (p=0.107 for dichotomous assessment of fraction 0–2 and p=0.382 for ordinal shift, right). EMS, emergency medical service; MSU, mobile stroke unit; tPA, tissue plasminogen activator.

  • Figure 3
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    Figure 3

    Average time from emergency alert to groin access for patients triaged by mobile stroke unit vs traditional EMS services (p=0.0002, left). Distribution of modified Rankin Scale at 90-day clinic follow-up for patients with premorbid mRS 0–2 (p=0.738 for dichotomous assessment of fraction 0–2 and p=0.624 for ordinal shift, right). EMS, emergency medical service; MSU, mobile stroke unit.

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Vol 7 Issue 3 Table of Contents
Stroke and Vascular Neurology: 7 (3)
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Mobile stroke care expedites intravenous thrombolysis and endovascular thrombectomy
Matthew T Bender, Thomas K Mattingly, Redi Rahmani, Diana Proper, Walter A Burnett, Jason L Burgett, Joshua LEsperance, Jeremy T Cushman, Webster H Pilcher, Curtis G Benesch, Adam G Kelly, Tarun Bhalla
Stroke and Vascular Neurology Jun 2022, 7 (3) 209-214; DOI: 10.1136/svn-2021-001119

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Mobile stroke care expedites intravenous thrombolysis and endovascular thrombectomy
Matthew T Bender, Thomas K Mattingly, Redi Rahmani, Diana Proper, Walter A Burnett, Jason L Burgett, Joshua LEsperance, Jeremy T Cushman, Webster H Pilcher, Curtis G Benesch, Adam G Kelly, Tarun Bhalla
Stroke and Vascular Neurology Jun 2022, 7 (3) 209-214; DOI: 10.1136/svn-2021-001119
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Mobile stroke care expedites intravenous thrombolysis and endovascular thrombectomy
Matthew T Bender, Thomas K Mattingly, Redi Rahmani, Diana Proper, Walter A Burnett, Jason L Burgett, Joshua LEsperance, Jeremy T Cushman, Webster H Pilcher, Curtis G Benesch, Adam G Kelly, Tarun Bhalla
Stroke and Vascular Neurology Jun 2022, 7 (3) 209-214; DOI: 10.1136/svn-2021-001119
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