Effect of telestroke practices on short-term mortality in ischemic stroke patients

Abstract

It was aimed to compare the year we started using telestroke application in ischemic stroke patients with the previous year in which we did not use telestroke application in terms of patient prognosis. Material and Method:Stroke patients presenting for whom WhatsApp was used for telestroke purposes, were evaluated as the telestroke group. The previous year it was a pre-telestroke group. In this prospectively planned study, the pre-telestroke and telestroke groups were compared in terms of age, gender, chronic disease characteristics, onset of symptoms, aspirin, warfarinuse, door-to-CT, door-to-consultation and door-to-treatment times, prognosis, and 30-day mortality.Results: A total of 727 patients clinically and radiologically confirmed to have ischemic stroke were included in the study. There were 252(34.6%) patients in the pre-telestroke group and 475 (65,4%) patients in the telestroke group. Both rtPA and thrombectomy treatment were significantly higher in the telestroke group (p<0.001). In the first 24-hour evaluation, the rate of discharge increased and hospital admission and mortality decreased in the telestroke group (p<0.001). There was no statistically significant difference between the groups in terms of poor prognosis and 30-day mortality (p=0.470 and p=0.625, respectively). Conclusion:Telestroke practices not only provide access to there levant clinical branch for early consultation but also facilitate time lytreatment thus leading to improvement in prognosis.

Tele-tıp Uygulamaları

“…Tele-tıp teknolojisinin kullanımı hem hasta merkezli hem de hastaları, hekimleri ve diğerlerini koruyan güncel yaklaşımdır. Tele-tıp, geçerli ve doğru bilgi alışverişi için bilgi ve iletişim teknolojilerini kullanarak, mesafenin kritik bir faktör olduğu durumlarda sağlık hizmetleri profesyonelleri tarafından sağlık hizmeti sunumudur (2). Tele-tıp hizmetleri, gerçek zamanlı veya depola ve ilet teknikleri kullanılarak verilmektedir.…”