Expanding Access to Intravenous Tissue-type Plasminogen Activator Treatment with a Practice-based Telestroke System

Emergency stroke treatment would benefit from the increased use of thrombolysis via academic or practice-based telemedicine systems. However, a comparative analysis of these systems has not been undertaken. Data on stroke severity and outcomes after thrombolysis were gathered on patients treated by...

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Bibliographic Details
Published in:Journal of stroke and cerebrovascular diseases 2013-11, Vol.22 (8), p.e546-e548
Main Authors: Sanders, Keith A., MD, Figiel, Christine, BA, Kiely, James M., MD, PhD, Gwynn, Matthews W., MD, Johnston, Lisa H., MD
Format: Article
Language:English
Subjects:
Academic Medical Centers
Administration, Intravenous
Age Factors
Aged
Aged, 80 and over
Cardiovascular
Disability Evaluation
Emergency Medical Services
Female
Fibrinolytic Agents - administration & dosage
Health Services Accessibility
Hospital Mortality
Humans
Length of Stay
Male
Middle Aged
Neurology
Predictive Value of Tests
Remote Consultation
Severity of Illness Index
Stroke - diagnosis
Stroke - drug therapy
stroke mimic
Telemedicine
telestroke
thrombolysis
Thrombolytic Therapy
Time Factors
Time-to-Treatment
Tissue Plasminogen Activator - administration & dosage
Tissue-type plasminogen activator
Treatment Outcome
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Description
Summary:Emergency stroke treatment would benefit from the increased use of thrombolysis via academic or practice-based telemedicine systems. However, a comparative analysis of these systems has not been undertaken. Data on stroke severity and outcomes after thrombolysis were gathered on patients treated by a practice-based system and compared to published data from academic systems. Patient demographics and outcome measures were not significantly different for patients treated by practice-based or academic providers with the exceptions of lower age and shorter duration of stay in the practice-based treatment group. This study shows that emergency stroke care provided by academic and practice-based telemedicine systems can achieve similar outcomes.
ISSN:1052-3057
1532-8511
DOI:10.1016/j.jstrokecerebrovasdis.2013.06.013