Telestroke in resource-poor developing country model

Sharma, Sudhir; Maruvada, Padma; Bhardwaj, Amit; Sharma, Ashish; Sawal, Nishit; Thakur, Shikha

doi:10.4103/0028-3886.190243

Cited by 50 publications

(53 citation statements)

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“…A neurologist based in the state capital of Shimla is available 24 h a day for consultation by mobile consultation or via WhatsApp at these 10 district hospitals. Between June 2014 and May 2015, a total of 26 patients were thrombolysed [52]. …”

Section: Resultsmentioning

confidence: 99%

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

et al. 2017

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Background: The burden of stroke in low- and middle-income countries (LMICs) is large and increasing, challenging the already stretched health-care services. Aims and Objectives: To determine the quality of existing stroke-care services in LMICs and to highlight indigenous, inexpensive, evidence-based implementable strategies being used in stroke-care. Methods: A detailed literature search was undertaken using PubMed and Google scholar from January 1966 to October 2015 using a range of search terms. Of 921 publications, 373 papers were shortlisted and 31 articles on existing stroke-services were included. Results: We identified efficient models of ambulance transport and pre-notification. Stroke Units (SU) are available in some countries, but are relatively sparse and mostly provided by the private sector. Very few patients were thrombolysed; this could be increased with telemedicine and governmental subsidies. Adherence to secondary preventive drugs is affected by limited availability and affordability, emphasizing the importance of primary prevention. Training of paramedics, care-givers and nurses in post-stroke care is feasible. Conclusion: In this systematic review, we found several reports on evidence-based implementable stroke services in LMICs. Some strategies are economic, feasible and reproducible but remain untested. Data on their outcomes and sustainability is limited. Further research on implementation of locally and regionally adapted stroke-services and cost-effective secondary prevention programs should be a priority.

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Section: Resultsmentioning

confidence: 99%

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

et al. 2017

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“…Stroke management using telestroke platforms can be utilized in India to provide high-quality care for triaging patients, as well as the entire stroke care pathway, even in resource-poor settings. 33 As the number of COVID-19 patients continues to increase, there may be a greater resource crunch in the routine outpatient care of stroke patients, which may be avoided to a significant extent if telemedicine platforms could be integrated early on into health systems within the framework of the guidelines of the MoHFW, Government of India.…”

Section: Stroke Care During Covid 19: Shifting To Telemedicinementioning

confidence: 99%

The SARS‐CoV‐2/COVID‐19 pandemic and challenges in stroke care in India

Sylaja

Srivastava

Shah³

et al. 2020

Annals of the New York Academy of Sciences

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Stroke care in India has evolved rapidly in the last decade with a focus on stroke awareness, prevention, rapid triage, treatment, and rehabilitation. But acute stroke care and poststroke rehabilitation in the country have limitations owing to the economic constraints and poor access to health care. The SARS-CoV-2/COVID-19 pandemic has made stroke care even more challenging. We outline the unfavorable circumstances in stroke care induced by the pandemic; propose mitigating measures; crisis management; and provide a comparative evaluation of stroke care between India and the United States during the pandemic. There is a need for public health systems in both developed and developing countries to improve awareness, implement proper strategies of triage, acute treatment, well-defined rehabilitation plans, telemedicine services, and virtual check-ins.

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“…Tele-stroke has become increasingly mobile, e.g. with mobile stroke units [122], and has improved access to stroke neurologists for millions [123][124][125].…”

Section: The New Role Of the Movement Disorders Specialist Via Tele-nmentioning

confidence: 99%

Multidisciplinary care for people with Parkinson’s disease: the new kids on the block!

Radder

Vries

Riksen

et al. 2019

Expert Review of Neurotherapeutics

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Telephone number: +31-0243615202 Word count for abstract: 200. Word count for text: 7143 words. Number of references: 139. Number of figures: 2. Number of tables: 2. AbstractIntroduction: Parkinson's disease (PD) is a chronic multisystem disorder that causes a wide variety of motor and non-motor symptoms. Over time, the progressive nature of the disease increases the risk of complications such as falls and loss of independence, having a profound impact on quality of life. The complexity and heterogeneity of symptoms therefore warrant a holistic, multidisciplinary approach. Specific healthcare professionals, e.g. the movement disorders neurologist and the PD nurse specialist, are considered essential members of this multidisciplinary team. However, with our increasing knowledge about different aspects of the disease, other disciplines are also being recognized as important contributors to the healthcare team. Areas covered: We describe a selection of these relatively newly-recognized disciplines, including the specialist in vascular medicine, gastroenterologist, pulmonologist, neuroophthalmologist, urologist, geriatrician/elderly care physician, palliative care specialist and the dentist. Furthermore, we share the view of a person with PD on how patients and caregivers should be involved in the multidisciplinary team. Finally, we have included a perspective on the new role of the movement disorder neurologist, with care delivery via "tele-neurology". Expert commentary: Increased awareness about the potential role of these 'new' professionals will further improve disease management and quality of life of PD patients.

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Telestroke in resource-poor developing country model

Cited by 50 publications

References 0 publications

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

Strategies to Improve Stroke Care Services in Low- and Middle-Income Countries: A Systematic Review

The SARS‐CoV‐2/COVID‐19 pandemic and challenges in stroke care in India

Multidisciplinary care for people with Parkinson’s disease: the new kids on the block!

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