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PreSSUB: Prehospital Stroke Study at the Universitair Ziekenhuis Brussel

PreSSUB: Prehospital Stroke Study at the Universitair Ziekenhuis Brussel. Core team: Raf Brouns, Andre Convents, Alexis Valenzuela Espinoza, Rohny Van de Casseye, Jacques De Keyser Key sponsors: Prof. Hubloue, Prof. Noppen. What is stroke?. Sudden disruption of blood flow in the brain.

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PreSSUB: Prehospital Stroke Study at the Universitair Ziekenhuis Brussel

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  1. PreSSUB:Prehospital Stroke Study at the Universitair Ziekenhuis Brussel Core team: Raf Brouns, Andre Convents, Alexis Valenzuela Espinoza, Rohny Van de Casseye, Jacques De Keyser Key sponsors: Prof. Hubloue, Prof. Noppen

  2. What is stroke? • Sudden disruption of blood flow in the brain

  3. Consequences of stroke • Stroke is a major worldwide health problem: • 1st cause of acquired disability in adults • 2nd cause of dementia • 3th cause of death • Enormeousstrokeincidence: • Yearly27.000 new strokes in Belgium (74 per day) • Yearly 1.100.000 new strokes in Europe • Hugesocio-economicalimpact: • $74 billion(USA, 2010) • > €300 M (Belgium,2008)

  4. Specialized stroke care • TIME = BRAIN • COMPETENCE = BRAIN Precision medicine & Multitasking

  5. Solving the problem • Pharmacologicalsolutions? • Onlyonetherapyapprovedsince 1996: thrombolysis • Manyclinical trials with new compounds but no relevant improvement 3 decades • Redesigning the process • “Code Stroke” : in-hospitalprioritisation & organisation • Prehospital TeleStrokeStudy at the Universitair ziekenhuis Brussel (PreSSUB)

  6. PreSSUB’s Aim Improve outcome for stroke patients by redesigning acute stroke care Time = Brain 3G / 4G Competence = Brain

  7. PreSSUB’s Solution Implementation of a redisigned stroke process Routine clinical practice Departure ambulance 28’ Patient Registration + triage nursing procedures + blood results + final diagnosis nursing procedures + blood sampling + NIHSS CT Basic Nursing Procedures Time gain Arrival hospital 43’ Start Thrombolysis 102’ 74’ 84’ 45’ PreSSUB • Life Transmission of: • Vital parameters • PoC Blood Analysis Arrival hospital 43’ Start Thrombolysis 72’ Departure ambulance 28’ CT + nursingprocedures + analyse blood results + final diagnosis UTSS through bidirectional Audio-video connection 46’ Immediate transport to CT Patient registration Triage Basic Nursing Procedures

  8. Value Proposition

  9. PreSSUB’s Team Hospital management Emergency service Government Neurology Radiology Corporate partners IT Funding Innovation WFWG

  10. Contact Details • Alexis Valenzuela Espinoza • Business Developer • PreSSUB Coordinator • Vrije Universiteit Brussel • UZ Brussel • Laarbeeklaan 101 - 1090 Brussels - Belgium • Tel. +32 (0) 2/474.93.84 • Gsm. +32 (0) 470/505.796 • e-mail. avalenzu@vub.ac.be

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