Ickenstein, Guntram W. and Horn, Markus and Schenkel, J. and Vatankhah, Bijan and Bogdahn, Ulrich and Haberl, R. and Audebert, Heinrich J. (2005) The use of telemedicine in combination with a new stroke-code-box significantly increases t-PA use in rural communities. NEUROCRITICAL CARE, 3 (1). pp. 27-32. ISSN 1541-6933, 1556-0961
Full text not available from this repository. (Request a copy)Abstract
Background: The benefit of tissue plasminogen activator (t-PA) is strongly associated with the time to treatment. In Bavaria, Germany, only half of the population has the opportunity to be transferred to I of the 19 stroke units within the critical time window of less than 3 hours. The aim of this study was to investigate the benefit of a new stroke-code-box for t-PA thrombolysis combined with a telemedicine network system to increase the use of acute stroke thrombolysis. Methods: Two specialized stroke centers in Germany established a 24-hour telemedicine network (Telemedicine Pilot Project of an Integrated Stroke Care [TEMPiS]) to advise 12 community hospitals in eastern Bavaria. These clinics are linked via telemedicine in a 24-hour/7-day service network that allows patients to be examined by experts via a video-conference system Additionally, a special stroke-code-box for acute t-PA thrombolysis was designed to reduce time in the application and documentation process. Results: In the 12-month period before implementation of the TEMPiS network system, 10 patients had received systemic thrombolysis. In our 6-month study period (from July to December 2003) and after implementation of a stroke-code-box for t-PA thrombolysis within the telestroke network, 164 patients with acute stroke were presented with t-PA treatment indications. Of this patient population, 27.4% (45 of 164) received t-PA. Conclusions: Stroke care, including t-PA thrombolysis in non-urban areas, is feasible using a modern stroke unit concept within a telestroke network. With the expertise of specialized stroke centers accessed via telemedicine and the design of a stroke-code-box for t-PA thrombolysis, nearly one-third of patients presented with a possible indication for systemic thrombolysis can be treated with t-PA, thereby increasing the options for a successful stroke treatment.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ACUTE ISCHEMIC-STROKE; TISSUE-PLASMINOGEN ACTIVATOR; THROMBOLYTIC THERAPY; RELIABILITY; EXPERIENCE; acute ischemic stroke; t-PA thrombolysis; tele-stroke; stroke management; telemedicine; stroke-code-box; videoconference |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurologie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Jun 2021 11:01 |
| Last Modified: | 08 Jun 2021 11:01 |
| URI: | https://pred.uni-regensburg.de/id/eprint/36781 |
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