Telemedicine for Acute Stroke Care Review and Recommendations from the German Competence Network Stroke

被引：8

作者：

Audebert, H. J. ^{[1
,2
]}

Berger, K. ^{[3
]}

Boy, S. ^{[4
]}

Einhaeupl, K. M. ^{[5
]}

Endres, M. ^{[5
]}

Gahn, G. ^{[6
]}

Handschu, R. ^{[7
]}

Kaps, M. ^{[8
]}

Kuschinsky, W. ^{[9
]}

Lichy, C. ^{[10
]}

Roether, J. ^{[11
]}

Schenkel, J. ^{[12
]}

Scibor, M. ^{[7
]}

Schleyer, A.

Siebler, M.

Witte, O. W. ^{[13
]}

Ziegler, V. ^{[14
]}

Villringer, A. ^{[15
,16
]}

机构：

[1] Univ Med Berlin, Charite, Klin & Hsch Ambulanz Neurol, CSB, D-12200 Berlin, Germany

[2] Univ Med Berlin, Charite, Klin Neurophysiol, CSB, D-12200 Berlin, Germany

[3] Univ Munster, Inst Epidemiol & Sozialmed, D-4400 Munster, Germany

[4] Univ Regensburg, Klin & Poliklin Neurol, D-8400 Regensburg, Germany

[5] Univ Med Berlin, Charite, Klin & Poliklin Neurol, D-12200 Berlin, Germany

[6] Stadt Klinikum Karlsruhe gGmbH, Neurol Klin, Karlsruhe, Germany

[7] Univ Klinikum Erlangen, Neurozentrum, Erlangen, Germany

[8] Univ Giessen, Neurol Klin, D-35390 Giessen, Germany

[9] Heidelberg Univ, Inst Physiol & Pathophysiol, D-6900 Heidelberg, Germany

[10] Heidelberg Univ, Neurol Klin, D-6900 Heidelberg, Germany

[11] Klinikum Minden, Neurol Klin, Minden, Germany

[12] Stadt Klinikum Munchen GmbH, Klinikum Harlaching, Neurol Klin, Munich, Germany

[13] Univ Jena, Hans Berger Klin Neurol, D-6900 Jena, Germany

[14] Rhon Klinikum Bad Neustadt, Neurol Klin, Bad Neustadt an der Saale, Germany

[15] Humboldt Univ, Charite, D-1086 Berlin, Germany

[16] Univ Leipzig, MPI, Leipzig, Germany

来源：

AKTUELLE NEUROLOGIE | 2009年 / 36卷 / 02期

关键词：

stroke; telemedicine; stroke unit; quality; thrombolysis; ACUTE ISCHEMIC-STROKE; PILOT PROJECT; PLASMINOGEN-ACTIVATOR; REMOTE EVALUATION; POOLED ANALYSIS; RELIABILITY; TELESTROKE; THROMBOLYSIS; MANAGEMENT; HOSPITALS;

D O I：

10.1055/s-0028-1090158

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Telemedicine is increasingly being utilised for the remote evaluation of stroke patients, particularly in neurologically underserved areas. It is usually based on video examination and teleradiological evaluations of brain scans. Scientific analyses have demonstrated the reliability of neurological scores assessed via videoconference. Teleradiology using electronically transmitted original imaging data is potentially equivalent to onsite assessment. Intravenous thrombolysis can be indicated with similar results as in experienced stroke centres if both technological and professional quality standards are applied. However, improved clinical outcomes of stroke patients have only been shown when telemedicine was combined with the Stroke Unit concept based on specialised stroke wards and organised stroke care. More scientific evaluation is needed in the fields of cost effectiveness, quality management and implementation of further technological innovations. There are still insufficient data about the use of telemedicine in prevention, rehabilitation and post-stroke care and a comprehensive scientific evaluation is still needed.

引用

页码：82 / 90

页数：9

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