Stroke mobile telemedicine for acute stroke care

修一, 藤井; 謙作, 芝崎; 保之, 井口; 眞史, 山下; 尚祐, 西林; 尚和, 鶴見; 賢也, 長谷川; 公久, 木下; 和美, 木村

doi:10.3995/jstroke.32.434

Cited by 1 publication

(2 citation statements)

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“…The present Internet environment proved to be matured to perform the present styles of telemedicine even in a rural district. Because all spoke hospitals are already equipped with high‐grade Internet connection as a private network, the present network system was able to share more detailed images than using the mobile phone network previously reported in the same Okayama Prefecture 10 years ago 13 …”

Section: Discussionmentioning

confidence: 96%

“…Because all spoke hospitals are already equipped with high-grade Internet connection as a private network, the present network system was able to share more detailed images than using the mobile phone network previously reported in the same Okayama Prefecture 10 years ago. 13 However, the patient recruitment might have been difficult because most of the spoke hospitals had many part-time physicians who were not familiar with the protocol of the network. In addition, we thought it would be useful to pre-determine the sequences of key images to be quickly sent and smoothly used in the network.…”

Section: (D) (E) (F) (G)mentioning

confidence: 99%

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A new telestroke network system in northern area of Okayama prefecture

Sasaki

Yamashita

Omote

et al. 2021

Neurology & Clinical Neurosc

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Background Telestroke network can provide rapid access to specialized treatment and improves on‐site management of acute stroke patients through the “hub‐and‐spoke” model. In the northern part of Okayama Prefecture, there has been a regional gap of stroke care due to the shortage of stroke specialists and facilities. In addition, due to the novel coronavirus disease 2019 (COVID‐19), it is required to reduce the unnecessary contact with stroke patients from other hospitals. Aim We organized a novel cost‐free telestroke network with an image and video sharing for neurological diseases in the northern part of Okayama Prefecture to improve the stroke management in the area. Method We prepared the tablet device on which Skype® application was installed for each hospital and recruited the patients who visited or hospitalized in the spoke hospitals and were suspected to have some neurological diseases from April 2019 to May 2020. The patient's clinical data were recorded and analyzed. Results During the study period, 5 patients were recruited including the cases with the initial diagnosis of stroke or brain tumor. Among them, 2 cases were transferred to the hub hospital, 2 cases were transferred to other hospitals, and 1 case was treated on site under specialist's advice. Conclusion The new telestroke network system may be beneficial for acute stroke management and reducing the unnecessary patient's transfer in the rural area, especially under coexistence with COVID‐19.

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Section: Discussionmentioning

confidence: 96%

Section: (D) (E) (F) (G)mentioning

confidence: 99%