Reduction in time to treatment in prehospital telemedicine evaluation and thrombolysis

Abstract

Compared with the traditional ambulance model, telemedicine-enabled ambulance-based thrombolysis resulted in significantly decreased time to imaging and treatment.

Telehealth Nursing Effectiveness in Stroke Patients

“…The most recent article was published in September, 2017, we can easily observe the timely relevance of the topic of telehealth, nursing and stroke. Four of the selected articles were pertaining to telehealth nursing management and education for stroke patients(10%, n=4) [24,25,27,31], two articles were about the benefits of telestroke for speedy discharge and recovery(5.4%, n=2) [29,34], seven were about telehealth nursing education and care for stroke patients as well as caregivers(18.92%, n=7) [11,12,30,32,33,34,36], two covered the topic of a stroke-specific, care coordination home telehealth (CCHT) program (5.4%,n=2) [18,19], two were related to acceptance of telestroke by caregivers in home setting(5.4%, n=2) [25,37], five articles emphasized how telehealth and such techniques help in savings and decrease stroke patient cost( 13.5%,n=5) [3,14,17,22,28], seven more papers discussed how telemedicine is considered along with other strategies to manage stroke(18.92%, n=7) [7,15,16,20,23,38,39], six papers described the methods in which acute ischemic stroke is managed in emergency medicine with telehealth and related techniques(16.27%,n=6) [2,6,8,9,13,35] and two articles covered how telehealth helps in diagnosis of stroke(5.4%, n=2) [15,29]. Findings suggest that telestroke network usage seems to be beneficial in managing acute ischemic stroke and may decrea...…”

“…The literature review of the telehealth nursing in stroke patients found it associated with numerous benefits, helping the multiple stages of stroke patient care [9,15,20]. Telestroke has a positive clinical impact for stroke patients in many areas of the country previously lacking access to high-quality acute-care services and timely evaluation for appropriate therapies [8,13].…”

“…The American Heart Association/American Stroke Association has recently endorsed telestroke [15]. The emerging themes from the articles emphasize benefits of telestroke for diagnosis of stroke [ 15,29], acute ischemic stroke management in emergency medicine with telehealth and related techniques [2,6,8,9,13,35], speedy discharge and recovery [29,34] and telestroke enhanced prompt treatment, hence improving long-term outcomes [13,16]. Telemedicine has benefited emergency medical services by helping expedite urgent stroke patient transfer, enhance supervision of paramedics and nurses and improve remote patient consultation [13].…”

“…Studies show a positive role of telehealth nursing interventions in the recovery and rehabilitation of the stroke patients [19,20]. The pathway to recovery of a stroke patient requires collaborative efforts to reduce the burden of the patient suffering, enhancing family and caregiver support [20,21].Telestroke practitioners and investigators should focus attention on analyzing and solving the business and administrative issues of the practice to allow further advances in the telestroke field and longevity of telestroke practice [9,22].…”

“…At the same time telestroke can possibly address, filling a gap in the delivery of care to meet the American Stroke Association guidelines, in underserviced regions [7,8].The telestroke model provides unique collaborative bedside and remote care [6,8]. Patients treated with a telemedicine-enabled mobile stroke treatment unit as compared to those patients transported to the emergency department by a traditional ambulance, showed better outcomes [7,9].The growing use of telehealth techniques in stroke offers more opportunities for all nurses to participate in cerebrovascular disease care [4].…”