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Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
Published on: March 8, 2018
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Mobile Stroke Units - Cost-Effective or Just an Expensive Hype?
Silke Walter1,2,3, Iris Q Grunwald2,4, Stefan A Helwig1
1Department of Neurology, Saarland University, Kirrbergerstrasse 1, 66421, Homburg, Germany.
Current Atherosclerosis Reports
|August 31, 2018
Summary
Mobile Stroke Units (MSU) improve acute stroke treatment times and patient triage. Further prospective studies are needed to confirm the cost-effectiveness of this innovative stroke care strategy.
Area of Science:
- Neurology
- Emergency Medicine
- Health Services Research
Background:
- Acute stroke is treatable, but timely intervention is limited by narrow therapeutic windows.
- The Mobile Stroke Unit (MSU) concept, equipped with advanced diagnostics and a specialized team, aims to overcome these limitations.
Purpose of the Study:
- To review the current evidence on Mobile Stroke Units (MSUs) and their impact on stroke care.
- To assess the feasibility, effectiveness, and cost-effectiveness of the MSU concept.
Main Methods:
- Review of existing research trials on MSU feasibility and impact.
- Analysis of pre-hospital stroke diagnosis and triage capabilities of MSUs.
Main Results:
- MSU feasibility and reduced treatment times are established.
- Pre-hospital diagnosis and triage by MSUs can reduce inter-hospital transfers.
- Cost-effectiveness remains an area requiring further investigation, with some data suggesting acceptable cost per quality-adjusted life year.
Conclusions:
- The MSU concept represents an innovative strategy to enhance stroke management.
- Addressing healthcare economic constraints, MSUs offer significant potential.
- Prospective analyses are crucial to definitively establish MSU cost-effectiveness and support broader implementation.
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