U Meyding-Lamadé1, E M Craemer2, E K Lamadé3, B Bassa2, K Enk2, H Ilsen2, C Jacobi2, V Jost2, M W Lorenz2, C Mohs2, C Schwark2, B Zimmerlein2, T Gottschalk4, W Hacke5, B Kress6. 1. Klinik für Neurologie, Krankenhaus Nordwest GmbH, Steinbacher Hohl 2-26, 60488, Frankfurt, Main, Deutschland. meyding-lamade.uta@khnw.de. 2. Klinik für Neurologie, Krankenhaus Nordwest GmbH, Steinbacher Hohl 2-26, 60488, Frankfurt, Main, Deutschland. 3. Medizinische Fakultät, Ludwig-Maximilians-Universität München, München, Deutschland. 4. Geschäftsführung, Krankenhaus Nordwest, Frankfurt, Main, Deutschland. 5. Neurologische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland. 6. Klinik für Neuroradiologie, Krankenhaus Nordwest, Frankfurt, Main, Deutschland.
Abstract
BACKGROUND: Specialized neurological treatment decreases the mortality and morbidity of stroke patients. In many regions of the world an extensive coverage is not available. The cooperation between the Krankenhaus Nordwest (KHNW, Frankfurt, Germany) and the Government of Brunei Darussalam describes the set-up process of a specialized neurological center, including stroke unit, science and rehabilitation center. AIM: The aim of this project called to teach to treat - to treat to teach was to set up a center of excellence in neurology in Brunei Darussalam over a distance of 12,000 km. Treatment options were elucidated by teaching and taught by case examples. MATERIAL AND METHODS: The construction of the Brunei Neuroscience Stroke and Rehabilitation Center (BNSRC) began in July 2010. To overcome the large distance between the department of neurology and neuroradiology at the KHNW and the BNSRC, a telemedical network was established. We provided daily teleteaching for all professions involved in patient care as well as 24/7 availability of teleneurological services from Germany to support the local team on site. RESULTS: In the BNSRC unit over 1000 patients with ischemic and hemorrhagic stroke and all the various acute neurological conditions were treated from July 2010 until July 2016 as inpatients and over 5000 were treated as outpatients. Since 2010, a total of 52 patients with stroke were treated by thrombolysis within the thrombolytic window and 81 hemicraniectomies were performed. CONCLUSION: The project has shown that it is possible to convey specialized neurological knowledge over large distances to provide significant benefits for patients and caregivers.
BACKGROUND: Specialized neurological treatment decreases the mortality and morbidity of strokepatients. In many regions of the world an extensive coverage is not available. The cooperation between the Krankenhaus Nordwest (KHNW, Frankfurt, Germany) and the Government of Brunei Darussalam describes the set-up process of a specialized neurological center, including stroke unit, science and rehabilitation center. AIM: The aim of this project called to teach to treat - to treat to teach was to set up a center of excellence in neurology in Brunei Darussalam over a distance of 12,000 km. Treatment options were elucidated by teaching and taught by case examples. MATERIAL AND METHODS: The construction of the Brunei Neuroscience Stroke and Rehabilitation Center (BNSRC) began in July 2010. To overcome the large distance between the department of neurology and neuroradiology at the KHNW and the BNSRC, a telemedical network was established. We provided daily teleteaching for all professions involved in patient care as well as 24/7 availability of teleneurological services from Germany to support the local team on site. RESULTS: In the BNSRC unit over 1000 patients with ischemic and hemorrhagic stroke and all the various acute neurological conditions were treated from July 2010 until July 2016 as inpatients and over 5000 were treated as outpatients. Since 2010, a total of 52 patients with stroke were treated by thrombolysis within the thrombolytic window and 81 hemicraniectomies were performed. CONCLUSION: The project has shown that it is possible to convey specialized neurological knowledge over large distances to provide significant benefits for patients and caregivers.
Authors: Heinrich J Audebert; Kathrin Schultes; Viola Tietz; Peter U Heuschmann; Ulrich Bogdahn; Roman L Haberl; Johannes Schenkel Journal: Stroke Date: 2008-11-20 Impact factor: 7.914
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Authors: Mayank Goyal; Andrew M Demchuk; Bijoy K Menon; Muneer Eesa; Jeremy L Rempel; John Thornton; Daniel Roy; Tudor G Jovin; Robert A Willinsky; Biggya L Sapkota; Dar Dowlatshahi; Donald F Frei; Noreen R Kamal; Walter J Montanera; Alexandre Y Poppe; Karla J Ryckborst; Frank L Silver; Ashfaq Shuaib; Donatella Tampieri; David Williams; Oh Young Bang; Blaise W Baxter; Paul A Burns; Hana Choe; Ji-Hoe Heo; Christine A Holmstedt; Brian Jankowitz; Michael Kelly; Guillermo Linares; Jennifer L Mandzia; Jai Shankar; Sung-Il Sohn; Richard H Swartz; Philip A Barber; Shelagh B Coutts; Eric E Smith; William F Morrish; Alain Weill; Suresh Subramaniam; Alim P Mitha; John H Wong; Mark W Lowerison; Tolulope T Sajobi; Michael D Hill Journal: N Engl J Med Date: 2015-02-11 Impact factor: 91.245
Authors: Eric Jüttler; Andreas Unterberg; Johannes Woitzik; Julian Bösel; Hemasse Amiri; Oliver W Sakowitz; Matthias Gondan; Petra Schiller; Ronald Limprecht; Steffen Luntz; Hauke Schneider; Thomas Pinzer; Carsten Hobohm; Jürgen Meixensberger; Werner Hacke Journal: N Engl J Med Date: 2014-03-20 Impact factor: 91.245
Authors: Jorge Muriel Fernandez; María José Sánchez Ledesma; Manuel López Millan; María Begoña García Cenador Journal: J Med Syst Date: 2017-03-27 Impact factor: 4.460