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Diurnal Variations in the First 24/7 Mobile Stroke Unit
Osama O Zaidat1, Khalid H Changal1, Ali Sultan-Qurraie1
1From the Bon Secours Mercy Health St. Vincent Hospital, The Neuroscience Institute, Toledo, OH (O.O.Z., K.H.C., A.S.-Q., V.J.C., J.G.-W., M.S.P., E.L.).
Stroke
|May 21, 2019
Summary
Mobile Stroke Units (MSUs) provide critical prehospital stroke care. This study found most MSU transports and treatments occur during morning and evening shifts, not overnight.
Area of Science:
- Emergency Medicine
- Neurology
- Prehospital Care
Background:
- Mobile Stroke Units (MSUs) offer advanced prehospital stroke care.
- The 24/7 operational efficiency of MSUs remains understudied.
- Diurnal variations in MSU services require investigation.
Purpose of the Study:
- To investigate diurnal variations in 24/7 Mobile Stroke Unit (MSU) operations.
- To analyze transport frequency, patient demographics, and stroke treatments across different shifts.
- To understand temporal patterns in MSU utilization.
Main Methods:
- A prospective database from a 24/7 MSU in Northwest Ohio was utilized.
- Transportation frequency, patient demographics, and treatment metrics were compared across 8-hour shifts (morning, evening, nocturnal).
- Administration of thrombolytic and mechanical thrombectomy was analyzed.
Main Results:
- 195 patients were transported by the MSU.
- The majority of transports occurred during morning (52.3%) and evening (35.8%) shifts.
- Intravenous thrombolytic administration was most frequent during the morning shift (56.5%), with no mechanical thrombectomies during nocturnal shifts.
Conclusions:
- Morning and evening shifts account for the majority of MSU transports (88.1%) and interventions.
- Understanding temporal variations is crucial for the global implementation of resource-intensive MSUs.
- Shift-based analysis highlights operational patterns in prehospital stroke care.
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