Oana M Dumitrascu1, Bart M Demaerschalk2. 1. Department of Neurology at Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA. oana.m.dumitrascu@gmail.com. 2. Department of Neurology at Mayo Clinic, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.
Abstract
PURPOSE OF REVIEW: This study aims to describe the current state of telestroke clinical applications and policies, in addition to key technical and operational aspects of the telemedicine practice. RECENT FINDINGS: Delivery of telestroke services for neurovascular care expanded from the intravenous alteplase decision and administration in acute emergency department settings to a continuum of services in mobile and inpatient stroke units, intensive care units, virtual stroke clinics, rehabilitation, and clinical research. Telestroke cost-effectiveness is well established from multiple perspectives. Stroke centers, certification agencies, and national registries have made essential recommendations regarding telestroke quality measures monitoring and reporting. Telestroke continues to bring neurovascular expertise to resource-restricted areas with advanced virtual communication techniques, optimizing stroke care. Future research should aim at broadening telestroke technology applications, while improving quality and reducing the delivery-associated cost and resources. Comprehensive multidisciplinary virtual telestroke centers that cover all aspects of stroke management might become available in the future.
PURPOSE OF REVIEW: This study aims to describe the current state of telestroke clinical applications and policies, in addition to key technical and operational aspects of the telemedicine practice. RECENT FINDINGS: Delivery of telestroke services for neurovascular care expanded from the intravenous alteplase decision and administration in acute emergency department settings to a continuum of services in mobile and inpatient stroke units, intensive care units, virtual stroke clinics, rehabilitation, and clinical research. Telestroke cost-effectiveness is well established from multiple perspectives. Stroke centers, certification agencies, and national registries have made essential recommendations regarding telestroke quality measures monitoring and reporting. Telestroke continues to bring neurovascular expertise to resource-restricted areas with advanced virtual communication techniques, optimizing stroke care. Future research should aim at broadening telestroke technology applications, while improving quality and reducing the delivery-associated cost and resources. Comprehensive multidisciplinary virtual telestroke centers that cover all aspects of stroke management might become available in the future.
Entities:
Keywords:
Acute stroke; Quality measures; Systems of care; Telemedicine; Telestroke
Authors: Alexander Kunz; Martin Ebinger; Frederik Geisler; Michal Rozanski; Carolin Waldschmidt; Joachim E Weber; Matthias Wendt; Benjamin Winter; Katja Zieschang; Jochen B Fiebach; Kersten Villringer; Hebun Erdur; Jan F Scheitz; Serdar Tütüncü; Kerstin Bollweg; Ulrike Grittner; Sabina Kaczmarek; Matthias Endres; Christian H Nolte; Heinrich J Audebert Journal: Lancet Neurol Date: 2016-07-16 Impact factor: 44.182
Authors: Georgia A Malandraki; Gary McCullough; Xuming He; Elizabeth McWeeny; Adrienne L Perlman Journal: J Speech Lang Hear Res Date: 2011-11-03 Impact factor: 2.297
Authors: Heinrich J Audebert; Martin L J Wimmer; Raymund Hahn; Johannes Schenkel; Ulrich Bogdahn; Markus Horn; Roman L Haberl Journal: Cerebrovasc Dis Date: 2005-09-02 Impact factor: 2.762
Authors: Mayank Goyal; Bijoy K Menon; Wim H van Zwam; Diederik W J Dippel; Peter J Mitchell; Andrew M Demchuk; Antoni Dávalos; Charles B L M Majoie; Aad van der Lugt; Maria A de Miquel; Geoffrey A Donnan; Yvo B W E M Roos; Alain Bonafe; Reza Jahan; Hans-Christoph Diener; Lucie A van den Berg; Elad I Levy; Olvert A Berkhemer; Vitor M Pereira; Jeremy Rempel; Mònica Millán; Stephen M Davis; Daniel Roy; John Thornton; Luis San Román; Marc Ribó; Debbie Beumer; Bruce Stouch; Scott Brown; Bruce C V Campbell; Robert J van Oostenbrugge; Jeffrey L Saver; Michael D Hill; Tudor G Jovin Journal: Lancet Date: 2016-02-18 Impact factor: 79.321
Authors: Bart M Demaerschalk; Jill Berg; Brian W Chong; Hartmut Gross; Karin Nystrom; Opeolu Adeoye; Lee Schwamm; Lawrence Wechsler; Sallie Whitchurch Journal: Telemed J E Health Date: 2017-04-06 Impact factor: 3.536
Authors: Jeffrey A Switzer; Bart M Demaerschalk; Jipan Xie; Liangyi Fan; Kathleen F Villa; Eric Q Wu Journal: Circ Cardiovasc Qual Outcomes Date: 2012-12-04
Authors: Kate E Laver; Daniel Schoene; Maria Crotty; Stacey George; Natasha A Lannin; Catherine Sherrington Journal: Cochrane Database Syst Rev Date: 2013-12-16
Authors: J Ross Mitchell; Pranshu Sharma; Jayesh Modi; Mark Simpson; Monroe Thomas; Michael D Hill; Mayank Goyal Journal: J Med Internet Res Date: 2011-05-06 Impact factor: 5.428
Authors: Martina Chirra; Luca Marsili; Linsdey Wattley; Leonard L Sokol; Elizabeth Keeling; Simona Maule; Gabriele Sobrero; Carlo Alberto Artusi; Alberto Romagnolo; Maurizio Zibetti; Leonardo Lopiano; Alberto J Espay; Ahmed Z Obeidat; Aristide Merola Journal: Telemed J E Health Date: 2018-08-23 Impact factor: 3.536
Authors: Amreen Mahmood; Vevita Blaizy; Aparajita Verma; Joel Stephen Sequeira; Dola Saha; Selvam Ramachandran; N Manikandan; Bhaskaran Unnikrishnan; John M Solomon Journal: Int J Telemed Appl Date: 2019-05-02
Authors: Daniel C Sacchetti; Ajay Gupta; Caroline D Chung; Abhinaba Chatterjee; Yi Zhang; Babak B Navi; Alan Z Segal; Hooman Kamel Journal: Neurohospitalist Date: 2020-02-11
Authors: Ann Van de Winckel; James R Carey; Teresa A Bisson; Elsa C Hauschildt; Christopher D Streib; William K Durfee Journal: J Neuroeng Rehabil Date: 2018-09-18 Impact factor: 4.262