Systematic Review of Telestroke for Post-Stroke Care and Rehabilitation

Rubin, Mark N.; Wellik, Kay E.; Channer, Dwight D.; Demaerschalk, Bart M.

doi:10.1007/s11883-013-0343-7

Cited by 40 publications

(26 citation statements)

References 38 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One critical impediment is that neuropsychological testing typically involves face-to-face interactions between researchers and participants. This makes it difficult for researchers to work with participants who do not live in the same local area, 16,17 and it diminishes the participation of individuals with limited physical mobility or unreliable sources of transportation. [18][19][20] The ability to remotely acquire neuropsychological data from stroke survivors located in their homes would, therefore, be an attractive alternative to face-to-face testing.…”

mentioning

confidence: 99%

“…19,[21][22][23] This motivates the present effort to develop a flexible and integrated system for the remote acquisition of neuropsychological data (RAND). The utility of telehealth and related applications for poststroke care and research was evaluated in a 2013 systematic review, 17 which identified 24 peer-reviewed publications that examined two-way audiovisual communication for poststroke care. The review found that all of the primary data articles, small and preliminary in scope, were most focused on rehabilitation of adults.…”

mentioning

confidence: 99%

See 1 more Smart Citation

A Flexible and Integrated System for the Remote Acquisition of Neuropsychological Data in Stroke Research

Durisko

McCue

Doyle

et al. 2016

Telemedicine and e-Health

View full text Add to dashboard Cite

Background: Neuropsychological testing is a central aspect of stroke research because it provides critical information about the cognitive-behavioral status of stroke survivors, as well as the diagnosis and treatment of stroke-related disorders. Standard neuropsychological methods rely upon face-to-face interactions between a patient and researcher, which creates geographic and logistical barriers that impede research progress and treatment advances. Introduction: To overcome these barriers, we created a flexible and integrated system for the remote acquisition of neuropsychological data (RAND). The system we developed has a secure architecture that permits collaborative videoconferencing. The system supports shared audiovisual feeds that can provide continuous virtual interaction between a participant and researcher throughout a testing session. Shared presentation and computing controls can be used to deliver auditory and visual test items adapted from standard face-to-face materials or execute computerbased assessments. Spoken and manual responses can be acquired, and the components of the session can be recorded for offline data analysis. Materials and Methods: To evaluate its feasibility, our RAND system was used to administer a speechlanguage test battery to 16 stroke survivors with a variety of communication, sensory, and motor impairments. The sessions were initiated virtually without prior face-to-face instruction in the RAND technology or test battery. Results: Neuropsychological data were successfully acquired from all participants, including those with limited technology experience,

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

A Flexible and Integrated System for the Remote Acquisition of Neuropsychological Data in Stroke Research

Durisko

McCue

Doyle

et al. 2016

Telemedicine and e-Health

View full text Add to dashboard Cite

show abstract

“…7 There has been less material published on and seemingly less use of telestroke infrastructure for the complex, multifaceted, and similarly important subacute phase of stroke evaluation and management. 36 …”

mentioning

confidence: 99%

The use of telemedicine in the management of acute stroke

Rubin

Demaerschalk

2014

FOC

Self Cite

View full text Add to dashboard Cite

Cerebrovascular disease, including acute ischemic stroke, remains a major public health problem in the US and throughout the world. There has been a concerted effort to apply evidence-based practices to stroke care to improve primary and secondary prevention as well as poststroke outcomes. Geography and workforce shortages contribute to a disparity in stroke care, however, among the substantial proportion of the US population that lives outside the reach of an acute stroke–ready hospital or a primary or comprehensive stroke center. In an attempt to combat the rural-to-urban disparity and expand the availability of best stroke practices, Levine and Gorman proposed the development of telemedical outreach for acute stroke evaluation and management, which they called “telestroke.” Since then, the practice of telestroke has been found to have a high interrater agreement with a bedside assessment of the National Institutes of Health Stroke Scale score, to enhance correct thrombolysis decision making as compared with telephone-only consultation, and to be cost-effective. In light of these findings and the perception of benefit by acute stroke providers and patients, there has been growing interest in and a rapid expansion of telestroke networks in the US and internationally. There are legal and financial barriers to more widespread use of telemedicine in general, including telestroke. Further research is needed to understand the potential merits of telestroke infrastructure for the many phases of stroke care including poststroke hospitalization, prevention of complications, enhancing secondary prevention, and education of patients and providers.

show abstract

“…Most poststroke telemedicine studies have been small preliminary evaluations of rehabilitation in adults; further research is needed. 318 Enhancing access to inpatient and outpatient rehabilitation services needs to be prioritized. Studies are needed to assess the efficacy of innovative approaches to deliver SR, particularly in rural regions.…”

Section: Labarthe Et Al Evidence-based Policy Making E637mentioning

confidence: 99%

Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio

Goldstein¹,

Antman²,

Arnett³

et al. 2016

Circulation

View full text Add to dashboard Cite

Background-American Heart Association (AHA) public policy advocacy strategies are based on its Strategic Impact Goals.The writing group appraised the evidence behind AHA's policies to determine how well they address the association's 2020 cardiovascular health (CVH) metrics and cardiovascular disease (CVD) management indicators and identified research needed to fill gaps in policy and support further policy development. Methods and Results-The AHA policy research department first identified current AHA policies specific to each CVH metric and CVD management indicator and the evidence underlying each policy. Writing group members then reviewed each policy and the related metrics and indicators. The results of each review were summarized, and topic-specific priorities and overarching themes for future policy research were proposed. There was generally close alignment between current AHA policies and the 2020 CVH metrics and CVD management indicators; however, certain specific policies still lack a robust evidence base. For CVH metrics, the distinction between policies for adults (age ≥20 years) and children (<20 years) was often not considered, although policy approaches may differ importantly by age. Inclusion of all those <20 years of age as a single group also ignores important differences in policy needs for infants, children, adolescents, and young adults. For CVD management indicators, specific quantitative targets analogous to criteria for ideal, intermediate, and poor CVH are lacking but needed to assess progress toward the 2020 goal to reduce deaths from CVDs and stroke. New research in support of current policies needs to focus on the evaluation of their translation and implementation through expanded application of implementation science. Focused basic, clinical, and population research is required to expand and strengthen the evidence base for the development of new policies. Evaluation of the impact of targeted © 2016 American Heart Association, Inc.Circulation is available at http://circ.ahajournals.org DOI: 10.1161/CIR.0000000000000410The American Heart Association makes every effort to avoid any actual or potential conflicts of interest that may arise as a result of an outside relationship or a personal, professional, or business interest of a member of the writing panel. Specifically, all members of the writing group are required to complete and submit a Disclosure Questionnaire showing all such relationships that might be perceived as real or potential conflicts of interest.This policy statement was approved by the Advocacy Coordinating Committee February 23, 2016, and the American Heart Association Executive Committee on February 23, 2016. A copy of the document is available at http://professional.heart.org/statements by using either "Search for Guidelines & Statements" or the "Browse by Topic" area. To purchase additional reprints, call 843-216-2533 or e-mail kelle.ramsay@wolterskluwer.com.The American Heart Association requests that this document be cited as follows: Labarthe DR, Goldstein LB,...

show abstract

Systematic Review of Telestroke for Post-Stroke Care and Rehabilitation

Cited by 40 publications

References 38 publications

A Flexible and Integrated System for the Remote Acquisition of Neuropsychological Data in Stroke Research

A Flexible and Integrated System for the Remote Acquisition of Neuropsychological Data in Stroke Research

The use of telemedicine in the management of acute stroke

Evidence-Based Policy Making: Assessment of the American Heart Association’s Strategic Policy Portfolio

Contact Info

Product

Resources

About