Stroke Rounds: Mobile Unit Speeds Access to tPA

From MedPage Today:

Treating acute ischemic stroke patients in a stroke emergency mobile unit (STEMO) boosted the percentage of patients who received thrombolysis within the “golden hour,” according to a German study.

Nearly one-third of (32.6%) ischemic stroke patients who were transported in the special ambulance received thrombolysis, compared with 22% of patients who received conventional care (P<0.001), reported researcher Martin Ebinger, MD, of the Charite-Universitatsmedizin in Berlin, and colleagues.

Hospital transport in the STEMO increased the number of tissue plasminogen activator (tPA) treatments within the critical window of 1 hour (the “golden hour”) from symptom onset almost 10-fold, they wrote online in JAMA Neurology.