Use of Telemedicine and Other Strategies to Increase the Number of Patients That May Be Treated with Intravenous Thrombolysis

Use of Telemedicine and Other Strategies to Increase the Number of Patients That May Be Treated with Intravenous Thrombolysis

Author Silva, Gisele Sampaio Autor UNIFESP Google Scholar
Schwamm, Lee H. Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Albert Einstein Hosp
Massachusetts Gen Hosp
Harvard Univ
Abstract Stroke is the fourth leading killer in the United States and a leading cause of adult long-term disability. the American Heart Association estimates that only 3% to 5% of patients with acute ischemic stroke are treated with intravenous thrombolysis. A way to improve the rates of treatment with thrombolysis in patients with acute ischemic stroke is the creation of telemedicine stroke networks. Data from many studies support the safety of expanding intravenous tissue plasminogen activator use with the help of telemedicine. in this article we discuss the current evidence for the use of telemedicine within stroke systems of care, the importance of coordinating care within the transferring facilities in the telestroke networks, telestroke economics and applicability, and how to potentially use the telestroke systems to increase recruitment of patients into acute stroke thrombolysis trials.
Keywords Telemedicine
Telestroke
Acute stroke care
Intravenous thrombolysis
Language English
Date 2012-02-01
Published in Current Neurology and Neuroscience Reports. New York: Springer, v. 12, n. 1, p. 10-16, 2012.
ISSN 1528-4042 (Sherpa/Romeo, impact factor)
Publisher Springer
Extent 10-16
Origin http://dx.doi.org/10.1007/s11910-011-0235-6
Access rights Closed access
Type Review
Web of Science ID WOS:000299056600002
URI http://repositorio.unifesp.br/handle/11600/34574

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