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Pre-hospital ct diagnosis of subarachnoid hemorrhage

BACKGROUND: Subarachnoid hemorrhage (SAH) is associated with higher mortality in the acute phase than other stroke types. There is a particular risk of early and devastating re-bleeding. Patients therefore need urgent assessment in a neurosurgical department, and the shorter the time from symptom on...

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Autores principales: Hov, Maren Ranhoff, Ryen, Annette, Finsnes, Katrine, Storflor, Janne, Lindner, Thomas, Gleditsch, Jostein, Lund, Christian Georg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331704/
https://www.ncbi.nlm.nih.gov/pubmed/28245880
http://dx.doi.org/10.1186/s13049-017-0365-1
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author Hov, Maren Ranhoff
Ryen, Annette
Finsnes, Katrine
Storflor, Janne
Lindner, Thomas
Gleditsch, Jostein
Lund, Christian Georg
author_facet Hov, Maren Ranhoff
Ryen, Annette
Finsnes, Katrine
Storflor, Janne
Lindner, Thomas
Gleditsch, Jostein
Lund, Christian Georg
author_sort Hov, Maren Ranhoff
collection PubMed
description BACKGROUND: Subarachnoid hemorrhage (SAH) is associated with higher mortality in the acute phase than other stroke types. There is a particular risk of early and devastating re-bleeding. Patients therefore need urgent assessment in a neurosurgical department, and the shorter the time from symptom onset to diagnosis the better. CASE PRESENTATION: The Norwegian Acute Stroke Pre-hospital Project (NASPP) has developed a Mobile Stroke Unit (MSU) model, which is staffed with anesthesiologists also trained in pre-hospital clinical assessment of acute stroke patients and interpretation of computerized tomography (CT). The MSU was operated on-call from the local dispatch center in a rural area 45–160 km away from a neurosurgical department. Two patients presented with clinical symptoms and signs compatible with SAH. In both cases, the CT examination confirmed the diagnosis of SAH. Both were transported directly from patient location to the regional neurosurgical department, saving at least 2–2.5 h of pre-neurosurgical time. CONCLUSION: The Norwegian MSU model staffed with anesthesiologists can rapidly establish an exact diagnosis of SAH, which in a rural area significantly reduces time to neurosurgical care. TRIAL REGISTRATION: Study data are retrospectively registered in ClinicalTrail.gov. NCT03036020 Unique Protocol ID: NASPP-2 Brief Title: The Norwegian Acute Stroke Prehospital Project Overall Status: Completed Primary Completion Date: January 2016 [Actual] Verification Date: January 2017
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spelling pubmed-53317042017-03-06 Pre-hospital ct diagnosis of subarachnoid hemorrhage Hov, Maren Ranhoff Ryen, Annette Finsnes, Katrine Storflor, Janne Lindner, Thomas Gleditsch, Jostein Lund, Christian Georg Scand J Trauma Resusc Emerg Med Case Report BACKGROUND: Subarachnoid hemorrhage (SAH) is associated with higher mortality in the acute phase than other stroke types. There is a particular risk of early and devastating re-bleeding. Patients therefore need urgent assessment in a neurosurgical department, and the shorter the time from symptom onset to diagnosis the better. CASE PRESENTATION: The Norwegian Acute Stroke Pre-hospital Project (NASPP) has developed a Mobile Stroke Unit (MSU) model, which is staffed with anesthesiologists also trained in pre-hospital clinical assessment of acute stroke patients and interpretation of computerized tomography (CT). The MSU was operated on-call from the local dispatch center in a rural area 45–160 km away from a neurosurgical department. Two patients presented with clinical symptoms and signs compatible with SAH. In both cases, the CT examination confirmed the diagnosis of SAH. Both were transported directly from patient location to the regional neurosurgical department, saving at least 2–2.5 h of pre-neurosurgical time. CONCLUSION: The Norwegian MSU model staffed with anesthesiologists can rapidly establish an exact diagnosis of SAH, which in a rural area significantly reduces time to neurosurgical care. TRIAL REGISTRATION: Study data are retrospectively registered in ClinicalTrail.gov. NCT03036020 Unique Protocol ID: NASPP-2 Brief Title: The Norwegian Acute Stroke Prehospital Project Overall Status: Completed Primary Completion Date: January 2016 [Actual] Verification Date: January 2017 BioMed Central 2017-02-28 /pmc/articles/PMC5331704/ /pubmed/28245880 http://dx.doi.org/10.1186/s13049-017-0365-1 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Hov, Maren Ranhoff
Ryen, Annette
Finsnes, Katrine
Storflor, Janne
Lindner, Thomas
Gleditsch, Jostein
Lund, Christian Georg
Pre-hospital ct diagnosis of subarachnoid hemorrhage
title Pre-hospital ct diagnosis of subarachnoid hemorrhage
title_full Pre-hospital ct diagnosis of subarachnoid hemorrhage
title_fullStr Pre-hospital ct diagnosis of subarachnoid hemorrhage
title_full_unstemmed Pre-hospital ct diagnosis of subarachnoid hemorrhage
title_short Pre-hospital ct diagnosis of subarachnoid hemorrhage
title_sort pre-hospital ct diagnosis of subarachnoid hemorrhage
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5331704/
https://www.ncbi.nlm.nih.gov/pubmed/28245880
http://dx.doi.org/10.1186/s13049-017-0365-1
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