Audebert, H. J. and Wimmer, M. L. J. and Hahn, R. and Schenkel, J. and Bogdahn, Ulrich and Hornung, M. and Haberl, R. L. (2005) Can telemedicine contribute to fulfill WHO Helsingborg Declaration of specialized stroke care? The Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria. CEREBROVASCULAR DISEASES, 20 (5). pp. 362-369. ISSN 1015-9770, 1421-9786
Full text not available from this repository. (Request a copy)Abstract
Background: Providing stroke unit treatment for all stroke patients is a cross-national goal as stated in the WHO Helsingborg Declaration. In order to achieve specialized stroke care for a large area, two stroke centers and 12 community hospitals established an integrative stroke network. This evaluation was performed to analyze achieved advances in stroke management. Methods: Core network elements are: ( 1) establishing stroke wards in all hospitals; ( 2) continuous training in stroke treatment; ( 3) telemedicine service staffed by a 24 h/day ` strokologist' with capability for high-speed videoconferencing and transfer of CT/MRI images. Data were prospectively documented in the databank of the telestroke service, in the Bavarian Stroke Registry and in the controlling departments. Results: In 2003, 4,179 stroke patients were admitted to the regional network hospitals. Between February 2003 and January 2004 a total of 2,182 teleconsultations were conducted. 250 teleconsultations yielded a nonvascular diagnosis. Indicators for stroke management quality improved compared with other hospitals without stroke unit: the frequency of CT/MRI within 3 h was 59% compared to 46%, frequency of speech therapy 36% (21%), and of occupational therapy 38% (12%). Eighty-six (2.1%) of the patients received systemic thrombolysis compared to 10 patients in the preceding year. Mean length of in-hospital stay decreased from 12.4 in 2002 to 9.7 days in 2003. Conclusions: This stroke network concept leads to a substantial improvement of stroke management. Telemedicine contributes to an early etiological assessment and fills the gap of specialized stroke expertise in neurologically underserved areas. Copyright (C) 2005 S. Karger AG, Basel.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | RANDOMIZED CONTROLLED-TRIAL; HELICOPTER TRANSPORT; ISCHEMIC-STROKE; THROMBOLYSIS; RELIABILITY; TELESTROKE; SCALE; acute stroke; clinical; telemedicine; stroke care; network |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 02 Jun 2021 04:52 |
| Last Modified: | 02 Jun 2021 04:52 |
| URI: | https://pred.uni-regensburg.de/id/eprint/36654 |
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