Telemedicine in Stroke: Organizing a Network - Rationale and Baseline Principles

被引:34
作者
de Bustos, Elisabeth Medeiros [1 ]
Vuillier, Fabrice [1 ]
Chavot, Didier [1 ]
Moulin, Thierry [1 ]
机构
[1] Univ Franche Comte, CHU Besancon, Serv Neurol, Besancon, France
关键词
Stroke; Teleradiology; Videoconferencing; Economics; Telemedicine; Telestroke; Networks; Acute management; Stroke unit;
D O I
10.1159/000213052
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Telestroke is the specific term used for the application of telemedicine in stroke. It is a consultative modality that facilitates care of patients with acute stroke at underserved hospitals by specialists at stroke centers and can play a vital role in minimizing the overall medicosocial impact of stroke. Telestroke should not be viewed as a new form of stroke therapy, rather as a means of supporting the increased delivery of evidenced-based medicine in stroke. The design and implementation of a hub-and-spoke telestroke network are complex and require state-of-the-art technology and close, organized collaboration between healthcare professionals if they are to be achieved. Telestroke is becoming part of clinical practice in some regions. It provides rapid access to specialized treatment and it could also potentially lead to major improvements in basic on-site management. Telemedicine is also being used for secondary prevention, rehabilitation, education and long-term stroke care. However, for progress to continue and in order to ensure the long-term sustainability of telestroke, various medicolegal, economic and market issues need to be resolved.
引用
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页码:1 / 8
页数:8
相关论文
共 44 条
[1]   Guidelines for the early management of adults with ischemic stroke - A guideline from the American Heart Association/American Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the atherosclerotic peripheral vascular disease and quality of care outcomes in research interdisciplinary working groups [J].
Adams, Harold P., Jr. ;
del Zoppo, Gregory ;
Alberts, Mark J. ;
Bhatt, Deepak L. ;
Brass, Lawrence ;
Furlan, Anthony ;
Grubb, Robert L. ;
Higashida, Randall T. ;
Jauch, Edward C. ;
Kidwell, Chelsea ;
Lyden, Patrick D. ;
Morgenstern, Lewis B. ;
Qureshi, Adnan I. ;
Rosenwasser, Robert H. ;
Scott, Phillip A. ;
Wijdicks, Eelco F. M. .
STROKE, 2007, 38 (05) :1655-1711
[2]   Recommendations for comprehensive stroke centers - A consensus statement from the brain attack coalition [J].
Alberts, MJ ;
Latchaw, RE ;
Selman, WR ;
Shephard, T ;
Hadley, MN ;
Brass, LM ;
Koroshetz, W ;
Marler, JR ;
Booss, J ;
Zorowitz, RD ;
Croft, JB ;
Magnis, E ;
Mulligan, D ;
Jagoda, A ;
O'Connor, R ;
Cawley, CM ;
Connors, JJ ;
Rose-DeRenzy, JA ;
Emr, M ;
Warren, M ;
Walker, MD .
STROKE, 2005, 36 (07) :1597-1616
[3]   Telethrombolysis: stroke consultation by telemedicine [J].
Amarenco, Pierre .
LANCET NEUROLOGY, 2008, 7 (09) :763-765
[4]   Telemedicine for improving emergent management of acute cerebrovascular syndromes [J].
Amarenco, Pierre ;
Nadjar, Marion .
INTERNATIONAL JOURNAL OF STROKE, 2007, 2 (01) :47-50
[5]  
American Telemedicine Association Website, ATA DEF TEL
[6]   Telestroke: effective networking [J].
Audebert, H .
LANCET NEUROLOGY, 2006, 5 (03) :279-282
[7]   Is Mobile Teleconsulting Equivalent to Hospital-Based Telestroke Services? [J].
Audebert, Heinrich J. ;
Boy, Sandra ;
Jankovits, Ralf ;
Pilz, Philipp ;
Klucken, Jochen ;
Fehm, Nando P. ;
Schenkel, Johannes .
STROKE, 2008, 39 (12) :3427-3430
[8]   Can telemedicine contribute to fulfill WHO Helsingborg Declaration of specialized stroke care? The Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria [J].
Audebert, HJ ;
Wimmer, MLJ ;
Hahn, R ;
Schenkel, J ;
Bogdahn, U ;
Horn, M ;
Haberl, RL .
CEREBROVASCULAR DISEASES, 2005, 20 (05) :362-369
[9]   Telemedicine for safe and extended use of thrombolysis in stroke -: The Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria [J].
Audebert, HJ ;
Kukla, C ;
von Claranau, SC ;
Kühn, J ;
Vatankhah, B ;
Schenkel, J ;
Ickenstein, GW ;
Haberl, RL ;
Horn, M .
STROKE, 2005, 36 (02) :287-291
[10]  
Berthier E, 2005, CEREBROVASC DIS, V19, pS40