2009
DOI: 10.1258/jtt.2009.090102
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Impact of a telemedicine system on acute stroke care in a community hospital

Abstract: In January 2007, a telestroke system was established between a community hospital lacking a neurologist on call and a stroke centre 70 km away. The telestroke system allowed urgent remote evaluation of the patient by a specialized neurologist, supervised thrombolytic treatment or a decision for urgent transfer to the stroke centre. During the first year of operation of the telestroke system, we studied all acute ischaemic stroke patients admitted to the community hospital and compared the results with the prev… Show more

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Cited by 44 publications
(33 citation statements)
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References 23 publications
(22 reference statements)
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“…15 During the 10 years, onset-to-treatment times and door-to-needle times decreased remarkably. Eighty percent of all IVT in the TEMPiS Stroke Units are delivered within 60 minutes of admission, thus being clearly beyond the target of the American Stroke Association of 50%.…”
Section: Discussionmentioning
confidence: 99%
“…15 During the 10 years, onset-to-treatment times and door-to-needle times decreased remarkably. Eighty percent of all IVT in the TEMPiS Stroke Units are delivered within 60 minutes of admission, thus being clearly beyond the target of the American Stroke Association of 50%.…”
Section: Discussionmentioning
confidence: 99%
“…Another trend analysis was conducted in Spain using baseline data for 201 cases in 2006 and 198 cases in 2007 after the activation of the telestroke program. 93 Telestroke consisted of videoconferencing between the patients at a community hospital and the stroke experts at a tertiary-care center. Specialists also had access to neuroimaging scans via the Picture Archiving and Communication System.…”
Section: The Search For Evidencementioning
confidence: 99%
“…60,61 There are numerous reports and growing experience with telemedicine/telestroke being used successfully in many different healthcare settings (mostly hospital to hospital and physician to hospital links) to reduce time delays and increase the use of acute therapies in a timely manner. 60,[62][63][64][65][66][67][68][69][70][71][72][73][74] The ability to use an air ambulance transportation system may vary depending on local factors (ie, ability to land a helicopter). The use of telemedicine as a direct part of EMS transportation (ie, a link in the ambulance) is an emerging area with some technical and logistical challenges.…”
Section: Emergency Medical Servicesmentioning
confidence: 99%