Two years of Finnish Telestroke

Sairanen, Tiina; Soinila, Seppo; Nikkanen, M.; Rantanen, Kirsi; Mustanoja, Satu; Färkkilä, M.; Pieninkeroinen, I.; Numminen, Heikki; Baumann, Peter; Valpas, J.; Kuha, T.; Kaste, Markku; Tatlısumak, Turgut

doi:10.1212/wnl.0b013e318212a8d4

Cited by 109 publications

(93 citation statements)

References 20 publications

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“…A prospective cohort study in Finland, conducted from 2007 to 2009 (published in 2011), compared thrombolysis rates at five community hospitals (n = 106) via telestroke with those appearing in person at the emergency room at the hub hospital (n = 985). 95 Among those patients with whom telestroke was used, 57.5% had thrombolytic treatment (a two-to threefold increase). Time to tPA treatment (onset to treatment time) was 120 minutes, and length of consultation was 25 minutes when it led to thrombolysis and 15 minutes if it did not.…”

Section: The Search For Evidencementioning

confidence: 99%

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Bashshur

Shannon

Smith

et al. 2014

Telemedicine and e-Health

310

210

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The telemedicine intervention in chronic disease management promises to involve patients in their own care, provides continuous monitoring by their healthcare providers, identifies early symptoms, and responds promptly to exacerbations in their illnesses. This review set out to establish the evidence from the available literature on the impact of telemedicine for the management of three chronic diseases: congestive heart failure, stroke, and chronic obstructive pulmonary disease. By design, the review focuses on a limited set of representative chronic diseases because of their current and increasing importance relative to their prevalence, associated morbidity, mortality, and cost. Furthermore, these three diseases are amenable to timely interventions and secondary prevention through telemonitoring. The preponderance of evidence from studies using rigorous research methods points to beneficial results from telemonitoring in its various manifestations, albeit with a few exceptions. Generally, the benefits include reductions in use of service: hospital admissions/readmissions, length of hospital stay, and emergency department visits typically declined. It is important that there often were reductions in mortality. Few studies reported neutral or mixed findings.

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Section: The Search For Evidencementioning

confidence: 99%

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Bashshur

Shannon

Smith

et al. 2014

Telemedicine and e-Health

310

210

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“…Outcomes were Safe Implementation of Treatments in Stroke definition (hemorrhage with neurological deterioration >4 points on NIHSS or death within 7 days) symptomatic intracerebral hemorrhage, 8 death (7 and 90 days), NIHSS scores at 24 and 7 days (or discharge if sooner), and modified Rankin score at 90 days dichotomized to good (0-2) and poor (3)(4)(5)(6) outcomes. The Oxfordshire Community Stroke Project Classification was used to categorize strokes as total anterior circulation, partial anterior circulation, lacunar, and posterior circulation infarcts.…”

Section: Methodsmentioning

confidence: 99%

“…1 Studies of telestroke suggest similar mortality, intracerebral hemorrhage rates, and outcomes in comparison to trials and usual clinical practice. [2][3][4] Data for thrombolysis using telephone consultation are limited. In a randomized study of telestroke versus telephone consultation, correct treatment decisions were made more often with telestroke but with no difference in adverse events.…”

mentioning

confidence: 99%

Evaluation of a Telephone Advice System for Remote Intravenous Thrombolysis in Ischemic Stroke

Dutta

Kendall

Holmes

et al. 2015

Stroke

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“…4,10,15,16,29,35,37,41,44 The greatest delay in the treatment of stroke patients has been shown to be in the prehospital phase, in which the patient is transported to a stroke specialty facility. 21 In an effort to combat this delay, the concept of the MSU was developed.…”

Section: Mobile Stroke Unitsmentioning

confidence: 99%

Expanding the treatment window for ischemic stroke through the application of novel system-based technology

El‐Ghanem¹,

Al‐Mufti²,

Thulasi

et al. 2017

FOC

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Recent randomized controlled trials have demonstrated the superiority of endovascular treatment (ET) over medical management in the treatment of acute ischemic stroke patients with anterior circulation emergent large vessel occlusions (ELVOs). Due to such accumulating evidence, expanding ET has become of paramount importance. Advancements in modern technology have enabled the use of mobile stroke units, telestroke networks, mobile neuroendovascular teams, and smartphone applications that shorten the time window to treatment and, thus, make patients more amenable to ET. Additionally, modifying stroke-screening tools to make them more accessible to first responders and the creation of stroke registries can provide further opportunities for ET.

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Two years of Finnish Telestroke

Abstract: A special feature of the Finnish pilot is the high percentage of consultations leading to thrombolytic treatment with features and results very similar to on-site thrombolysis at the neurologic emergency room of HUCH.

Cited by 109 publications

References 20 publications

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management

Evaluation of a Telephone Advice System for Remote Intravenous Thrombolysis in Ischemic Stroke

Expanding the treatment window for ischemic stroke through the application of novel system-based technology

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