Stroke Telemedicine

被引：129

作者：

Demaerschalk, Bart M. ^{[1
]}

Miley, Madeline L. ^{[1
,6
]}

Kiernan, Terri-Ellen J. ^{[1
]}

Bobrow, Bentley J. ^{[2
,7
]}

Corday, Doren A. ^{[3
]}

Wellik, Kay E. ^{[4
]}

Aguilar, Maria I. ^{[1
]}

Ingall, Timothy J. ^{[1
]}

Dodick, David W. ^{[1
]}

Brazdys, Karina

Koch, Tiffany C. ^{[5
]}

Ward, Michael P. ^{[8
]}

Richemont, Phillip C. ^{[9
]}

机构：

[1] Mayo Clin Hosp, Dept Neurol, Phoenix, AZ 85054 USA

[2] Mayo Clin Hosp, Dept Emergency Med, Phoenix, AZ 85054 USA

[3] Mayo Clin Hosp, Div Informat Technol, Phoenix, AZ 85054 USA

[4] Mayo Clin Hosp, Lib Serv, Div Educ Adm, Phoenix, AZ 85054 USA

[5] Mayo Clin Hosp, Div Res Adm Serv, Phoenix, AZ 85054 USA

[6] Loyola Univ, Dept Biol, Chicago, IL 60626 USA

[7] Arizona Dept Hlth Serv, Bur EMS & Trauma Syst, Phoenix, AZ 85007 USA

[8] Kingman Reg Med Ctr, Dept Emergency Med, Kingman, AZ USA

[9] Yuma Reg Med Ctr, Dept Emergency Med, Yuma, AZ USA

来源：

MAYO CLINIC PROCEEDINGS | 2009年 / 84卷 / 01期

关键词：

ACUTE ISCHEMIC-STROKE; TISSUE-PLASMINOGEN ACTIVATOR; PILOT PROJECT; CARE TEMPIS; PROSPECTIVE RELIABILITY; EMERGENCY PHYSICIANS; METROPOLITAN MATRIX; REMOTE EVALUATION; TELESTROKE; THROMBOLYSIS;

D O I：

10.4065/84.1.53

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Stroke telemedicine is a consultative modality that facilitates care of patients with acute stroke at underserviced hospitals by specialists at stroke centers. The design and Implementation of a hub-and-spoke telestroke network are complex. This review describes the technology that makes stroke telemedicine possible, the members that should be Included In a telestroke team, the hub-and-spoke characteristics of a telestroke network, and the format of a typical consultation. Common obstacles to the practice of telestroke medicine are explored, such as medicolegal, economic, and market Issues. An example of a state-based telestroke network Is thoroughly described, and established International telestroke networks are presented and compared. The opportunities for future advances In telestroke practice, research, and education are considered.

引用

页码：53 / 64

页数：12

共 65 条

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