Establishing an MSU service in a medium-sized German urban area - clinical and economic considerations
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...
Gespeichert in:
| Hauptverfasser: | , , , , , , , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
29 February 2024
|
| In: |
Frontiers in neurology
Year: 2024, Jahrgang: 15, Pages: 1-9 |
| ISSN: | 1664-2295 |
| DOI: | 10.3389/fneur.2024.1358145 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.3389/fneur.2024.1358145 Verlag, kostenfrei, Volltext: https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2024.1358145/full 
|
| Verfasserangaben: | 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 |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1898741530 | ||
| 003 | DE-627 | ||
| 005 | 20241205162814.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 240815s2024 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3389/fneur.2024.1358145 |2 doi | |
| 035 | |a (DE-627)1898741530 | ||
| 035 | |a (DE-599)KXP1898741530 | ||
| 035 | |a (OCoLC)1475307738 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Rink, Johann |d 1988- |e VerfasserIn |0 (DE-588)1160454043 |0 (DE-627)1023629909 |0 (DE-576)505901277 |4 aut | |
| 245 | 1 | 0 | |a Establishing an MSU service in a medium-sized German urban area - clinical and economic considerations |c 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 |
| 264 | 1 | |c 29 February 2024 | |
| 300 | |b Illustrationen | ||
| 300 | |a 9 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 15.08.2024 | ||
| 520 | |a 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. | ||
| 650 | 4 | |a acute stroke care | |
| 650 | 4 | |a computerized tomography | |
| 650 | 4 | |a mobile stroke units | |
| 650 | 4 | |a Prehospital stroke care | |
| 650 | 4 | |a Prehospital thrombolysis | |
| 700 | 1 | |a Tollens, Fabian |d 1993- |e VerfasserIn |0 (DE-588)1158694911 |0 (DE-627)1020771615 |0 (DE-576)504310925 |4 aut | |
| 700 | 1 | |a Tschalzev, Andrej |e VerfasserIn |4 aut | |
| 700 | 1 | |a Bartelt, Christian |e VerfasserIn |4 aut | |
| 700 | 1 | |a Heinzl, Armin |e VerfasserIn |4 aut | |
| 700 | 1 | |a Hoffmann, Jens |d 1995- |e VerfasserIn |0 (DE-588)1349373834 |0 (DE-627)1909523852 |4 aut | |
| 700 | 1 | |a Schönberg, Stefan |d 1969- |e VerfasserIn |0 (DE-588)131557912 |0 (DE-627)510700624 |0 (DE-576)298584891 |4 aut | |
| 700 | 1 | |a Marzina, Annika |d 1984- |e VerfasserIn |0 (DE-588)1068347759 |0 (DE-627)820157953 |0 (DE-576)427714761 |4 aut | |
| 700 | 1 | |a Sandikci, Vesile |d 1988- |e VerfasserIn |0 (DE-588)1091117853 |0 (DE-627)852276427 |0 (DE-576)46128524X |4 aut | |
| 700 | 1 | |a Wiegand, Carla |d 1998- |e VerfasserIn |0 (DE-588)1349374148 |0 (DE-627)1909524603 |4 aut | |
| 700 | 1 | |a Hoyer, Carolin |d 1976- |e VerfasserIn |0 (DE-588)136673562 |0 (DE-627)694568090 |0 (DE-576)301202133 |4 aut | |
| 700 | 1 | |a Szabo, Kristina |d 1970- |e VerfasserIn |0 (DE-588)120354993 |0 (DE-627)696594749 |0 (DE-576)292174942 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Frontiers in neurology |d Lausanne : Frontiers Research Foundation, 2008 |g 15(2024), Seite 1-9 |h Online-Ressource |w (DE-627)631498753 |w (DE-600)2564214-5 |w (DE-576)326550933 |x 1664-2295 |7 nnas |a Establishing an MSU service in a medium-sized German urban area - clinical and economic considerations |
| 773 | 1 | 8 | |g volume:15 |g year:2024 |g pages:1-9 |g extent:9 |a Establishing an MSU service in a medium-sized German urban area - clinical and economic considerations |
| 856 | 4 | 0 | |u https://doi.org/10.3389/fneur.2024.1358145 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2024.1358145/full |x Verlag |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20240815 | ||
| 993 | |a Article | ||
| 994 | |a 2024 | ||
| 998 | |g 120354993 |a Szabo, Kristina |m 120354993:Szabo, Kristina |d 60000 |d 62700 |e 60000PS120354993 |e 62700PS120354993 |k 0/60000/ |k 1/60000/62700/ |p 12 |y j | ||
| 998 | |g 136673562 |a Hoyer, Carolin |m 136673562:Hoyer, Carolin |d 60000 |d 62700 |e 60000PH136673562 |e 62700PH136673562 |k 0/60000/ |k 1/60000/62700/ |p 11 | ||
| 998 | |g 1349374148 |a Wiegand, Carla |m 1349374148:Wiegand, Carla |d 60000 |e 60000PW1349374148 |k 0/60000/ |p 10 | ||
| 998 | |g 1091117853 |a Sandikci, Vesile |m 1091117853:Sandikci, Vesile |d 60000 |d 62700 |e 60000PS1091117853 |e 62700PS1091117853 |k 0/60000/ |k 1/60000/62700/ |p 9 | ||
| 998 | |g 1068347759 |a Marzina, Annika |m 1068347759:Marzina, Annika |d 60000 |d 62700 |e 60000PM1068347759 |e 62700PM1068347759 |k 0/60000/ |k 1/60000/62700/ |p 8 | ||
| 998 | |g 131557912 |a Schönberg, Stefan |m 131557912:Schönberg, Stefan |d 60000 |d 62900 |e 60000PS131557912 |e 62900PS131557912 |k 0/60000/ |k 1/60000/62900/ |p 7 | ||
| 998 | |g 1349373834 |a Hoffmann, Jens |m 1349373834:Hoffmann, Jens |d 60000 |e 60000PH1349373834 |k 0/60000/ |p 6 | ||
| 998 | |g 1158694911 |a Tollens, Fabian |m 1158694911:Tollens, Fabian |d 60000 |d 62900 |e 60000PT1158694911 |e 62900PT1158694911 |k 0/60000/ |k 1/60000/62900/ |p 2 | ||
| 998 | |g 1160454043 |a Rink, Johann |m 1160454043:Rink, Johann |d 60000 |d 62900 |e 60000PR1160454043 |e 62900PR1160454043 |k 0/60000/ |k 1/60000/62900/ |p 1 |x j | ||
| 999 | |a KXP-PPN1898741530 |e 4566297179 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"relHost":[{"pubHistory":["2008 -"],"type":{"bibl":"periodical","media":"Online-Ressource"},"language":["eng"],"titleAlt":[{"title":"Autonomic Neuroscience"},{"title":"Brain Imaging Methods"},{"title":"Dementia"},{"title":"Endovascular and Interventional Neurology"},{"title":"Epilepsy"},{"title":"Headache Medicine and Facial Pain"},{"title":"Movement Disorders"},{"title":"Multiple Sclerosis and Neuroimmunology"},{"title":"Neurocritical and Neurohospitalist Care"},{"title":"Neurodegeneration"},{"title":"Neurogenomics"},{"title":"Neurology Education"},{"title":"Neuromuscular Diseases"},{"title":"Neuro-Oncology"},{"title":"Neuro-Ophthalmology"},{"title":"Neuro-Otology"},{"title":"Neuropediatrics"},{"title":"Neuropharmacology"},{"title":"Neuroprosthetics"},{"title":"Neurotrauma"},{"title":"Sleep and Chronobiology"},{"title":"Spinal Cord Medicine"},{"title":"Sports Neurology"},{"title":"Stroke"},{"title":"Teleneurology"}],"recId":"631498753","disp":"Establishing an MSU service in a medium-sized German urban area - clinical and economic considerationsFrontiers in neurology","note":["Gesehen am 18.08.20","Specialty sections: Autonomic Neuroscience; Brain Imaging Methods; Dementia; Endovascular and Interventional Neurology; Epilepsy; Headache Medicine and Facial Pain; Movement Disorders; Multiple Sclerosis and Neuroimmunology; Neurocritical and Neurohospitalist; Care; Neurodegeneration; Neurogenomics; Neurology Education; Neuromuscular Diseases; Neuro-Oncology; Neuro-Ophthalmology; Neuro-Otology; Neuropediatrics; Neuropharmacology; Neuroprosthetics; Neurotrauma; Sleep and Chronobiology; Spinal Cord Medicine; Sports Neurology; Stroke; Teleneurology"],"physDesc":[{"extent":"Online-Ressource"}],"id":{"eki":["631498753"],"issn":["1664-2295"],"zdb":["2564214-5"]},"part":{"extent":"9","year":"2024","pages":"1-9","volume":"15","text":"15(2024), Seite 1-9"},"title":[{"title_sort":"Frontiers in neurology","title":"Frontiers in neurology"}],"origin":[{"dateIssuedKey":"2008","publisherPlace":"Lausanne","publisher":"Frontiers Research Foundation","dateIssuedDisp":"2008-"}],"name":{"displayForm":["Frontiers Research Foundation"]}}],"note":["Gesehen am 15.08.2024"],"physDesc":[{"noteIll":"Illustrationen","extent":"9 S."}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"id":{"eki":["1898741530"],"doi":["10.3389/fneur.2024.1358145"]},"language":["eng"],"title":[{"title":"Establishing an MSU service in a medium-sized German urban area - clinical and economic considerations","title_sort":"Establishing an MSU service in a medium-sized German urban area - clinical and economic considerations"}],"person":[{"display":"Rink, Johann","given":"Johann","family":"Rink","role":"aut"},{"role":"aut","family":"Tollens","given":"Fabian","display":"Tollens, Fabian"},{"role":"aut","display":"Tschalzev, Andrej","given":"Andrej","family":"Tschalzev"},{"given":"Christian","display":"Bartelt, Christian","family":"Bartelt","role":"aut"},{"family":"Heinzl","display":"Heinzl, Armin","given":"Armin","role":"aut"},{"given":"Jens","display":"Hoffmann, Jens","family":"Hoffmann","role":"aut"},{"given":"Stefan","display":"Schönberg, Stefan","family":"Schönberg","role":"aut"},{"family":"Marzina","given":"Annika","display":"Marzina, Annika","role":"aut"},{"display":"Sandikci, Vesile","given":"Vesile","family":"Sandikci","role":"aut"},{"family":"Wiegand","given":"Carla","display":"Wiegand, Carla","role":"aut"},{"given":"Carolin","display":"Hoyer, Carolin","family":"Hoyer","role":"aut"},{"role":"aut","family":"Szabo","given":"Kristina","display":"Szabo, Kristina"}],"recId":"1898741530","name":{"displayForm":["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"]},"origin":[{"dateIssuedKey":"2024","dateIssuedDisp":"29 February 2024"}]} | ||
| SRT | |a RINKJOHANNESTABLISHI2920 | ||