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A Micro-Level Simulation Model for Analyzing the Use of MSUs in Southern Sweden

Mahdiraji, Saeid Amouzad ; Holmgren, Johan ; Mihailescu, Radu Casian and Petersson, Jesper LU (2021) 12th International Conference on Emerging Ubiquitous Systems and Pervasive Networks, EUSPN 2021 / 11th International Conference on Current and Future Trends of Information and Communication Technologies in Healthcare, ICTH 2021 198. p.132-139
Abstract

A mobile stroke unit (MSU) is a special type of ambulance, where stroke patients can be diagnosed and provided intravenous treatment, hence allowing to cut down the time to treatment for stroke patients. We present a discrete event simulation (DES) model to study the potential benefits of using MSUs in the southern health care region of Sweden (SHR). We included the activities and actions used in the SHR for stroke patient transportation as events in the DES model, and we generated a synthetic set of stroke patients as input for the simulation model. In a scenario study, we compared two scenarios, including three MSUs each, with the current situation, having only regular ambulances. We also performed a sensitivity analysis to further... (More)

A mobile stroke unit (MSU) is a special type of ambulance, where stroke patients can be diagnosed and provided intravenous treatment, hence allowing to cut down the time to treatment for stroke patients. We present a discrete event simulation (DES) model to study the potential benefits of using MSUs in the southern health care region of Sweden (SHR). We included the activities and actions used in the SHR for stroke patient transportation as events in the DES model, and we generated a synthetic set of stroke patients as input for the simulation model. In a scenario study, we compared two scenarios, including three MSUs each, with the current situation, having only regular ambulances. We also performed a sensitivity analysis to further evaluate the presented DES model. For both MSU scenarios, our simulation results indicate that the average time to treatment is expected to decrease for the whole region and for each municipality of SHR. For example, the average time to treatment in the SHR is reduced from 1.31h in the baseline scenario to 1.20h and 1.23h for the two MSU scenarios. In addition, the share of stroke patients who are expected to receive treatment within one hour is increased by a factor of about 3 for both MSU scenarios.

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Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
keywords
DES, Ischemic stroke, MSU, stroke logistics, stroke transport, time to treatment
host publication
Procedia Computer Science : 12th International Conference on Emerging Ubiquitous Systems and Pervasive Networks, EUSPN 2021 / 11th International Conference on Current and Future Trends of Information and Communication Technologies in Healthcare, ICTH 2021 - 12th International Conference on Emerging Ubiquitous Systems and Pervasive Networks, EUSPN 2021 / 11th International Conference on Current and Future Trends of Information and Communication Technologies in Healthcare, ICTH 2021
volume
198
pages
8 pages
conference name
12th International Conference on Emerging Ubiquitous Systems and Pervasive Networks, EUSPN 2021 / 11th International Conference on Current and Future Trends of Information and Communication Technologies in Healthcare, ICTH 2021
conference location
Leuven, Belgium
conference dates
2021-11-01 - 2021-11-04
external identifiers
  • scopus:85124617439
DOI
10.1016/j.procs.2021.12.220
language
English
LU publication?
yes
id
cf2f6699-e70b-462e-aa63-d17588dc8182
date added to LUP
2022-04-12 09:49:10
date last changed
2022-04-28 00:44:27
@inproceedings{cf2f6699-e70b-462e-aa63-d17588dc8182,
  abstract     = {{<p>A mobile stroke unit (MSU) is a special type of ambulance, where stroke patients can be diagnosed and provided intravenous treatment, hence allowing to cut down the time to treatment for stroke patients. We present a discrete event simulation (DES) model to study the potential benefits of using MSUs in the southern health care region of Sweden (SHR). We included the activities and actions used in the SHR for stroke patient transportation as events in the DES model, and we generated a synthetic set of stroke patients as input for the simulation model. In a scenario study, we compared two scenarios, including three MSUs each, with the current situation, having only regular ambulances. We also performed a sensitivity analysis to further evaluate the presented DES model. For both MSU scenarios, our simulation results indicate that the average time to treatment is expected to decrease for the whole region and for each municipality of SHR. For example, the average time to treatment in the SHR is reduced from 1.31h in the baseline scenario to 1.20h and 1.23h for the two MSU scenarios. In addition, the share of stroke patients who are expected to receive treatment within one hour is increased by a factor of about 3 for both MSU scenarios.</p>}},
  author       = {{Mahdiraji, Saeid Amouzad and Holmgren, Johan and Mihailescu, Radu Casian and Petersson, Jesper}},
  booktitle    = {{Procedia Computer Science : 12th International Conference on Emerging Ubiquitous Systems and Pervasive Networks, EUSPN 2021 / 11th International Conference on Current and Future Trends of Information and Communication Technologies in Healthcare, ICTH 2021}},
  keywords     = {{DES; Ischemic stroke; MSU; stroke logistics; stroke transport; time to treatment}},
  language     = {{eng}},
  pages        = {{132--139}},
  title        = {{A Micro-Level Simulation Model for Analyzing the Use of MSUs in Southern Sweden}},
  url          = {{http://dx.doi.org/10.1016/j.procs.2021.12.220}},
  doi          = {{10.1016/j.procs.2021.12.220}},
  volume       = {{198}},
  year         = {{2021}},
}