Stroke telemedicine

Bart M. Demaerschalk; Madeline L. Miley; Terri Ellen J. Kiernan; Bentley J. Bobrow; Doren A. Corday; Kay E. Wellik; Maria I. Aguilar; Timothy J. Ingall; David W. Dodick; Karina Brazdys; Tiffany C. Koch; Michael P. Ward; Phillip C. Richemont

doi:10.4065/84.1.53

Stroke telemedicine

Bart M. Demaerschalk, Madeline L. Miley, Terri Ellen J. Kiernan, Bentley J. Bobrow, Doren A. Corday, Kay E. Wellik, Maria I. Aguilar, Timothy J. Ingall, David W. Dodick, Karina Brazdys, Tiffany C. Koch, Michael P. Ward, Phillip C. Richemont

Neurology

Research output: Contribution to journal › Review article › peer-review

126 Scopus citations

Abstract

Stroke telemedicine is a consultative modality that facilitates care of patients with acute stroke at underserviced hospitals by specialists at stroke centers. The design and implementation of a hub-and-spoke telestroke network are complex. This review describes the technology that makes stroke telemedicine possible, the members that should be included in a telestroke team, the hub-and-spoke characteristics of a telestroke network, and the format of a typical consultation. Common obstacles to the practice of telestroke medicine are explored, such as medicolegal, economic, and market issues. An example of a state-based telestroke network is thoroughly described, and established international telestroke networks are presented and compared. The opportunities for future advances in telestroke practice, research, and education are considered.

Original language	English (US)
Pages (from-to)	53-64
Number of pages	12
Journal	Mayo Clinic proceedings
Volume	84
Issue number	1
DOIs	https://doi.org/10.4065/84.1.53
State	Published - Jan 2009

ASJC Scopus subject areas

General Medicine

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10.4065/84.1.53

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title = "Stroke telemedicine",

abstract = "Stroke telemedicine is a consultative modality that facilitates care of patients with acute stroke at underserviced hospitals by specialists at stroke centers. The design and implementation of a hub-and-spoke telestroke network are complex. This review describes the technology that makes stroke telemedicine possible, the members that should be included in a telestroke team, the hub-and-spoke characteristics of a telestroke network, and the format of a typical consultation. Common obstacles to the practice of telestroke medicine are explored, such as medicolegal, economic, and market issues. An example of a state-based telestroke network is thoroughly described, and established international telestroke networks are presented and compared. The opportunities for future advances in telestroke practice, research, and education are considered.",

author = "Demaerschalk, {Bart M.} and Miley, {Madeline L.} and Kiernan, {Terri Ellen J.} and Bobrow, {Bentley J.} and Corday, {Doren A.} and Wellik, {Kay E.} and Aguilar, {Maria I.} and Ingall, {Timothy J.} and Dodick, {David W.} and Karina Brazdys and Koch, {Tiffany C.} and Ward, {Michael P.} and Richemont, {Phillip C.}",

note = "Funding Information: This study was funded by an Arizona Department of Health Services research grant ( HI754123 ), a Mayo Clinic research grant ( 90256993 ), the STRokE DOC Arizona—The Initial Mayo Experience (TIME) trial ( clinicaltrials.gov identifier: NCT00623350), and the Stroke Telemedicine for Arizona Rural Residents (STARR) Registry. ",

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AU - Demaerschalk, Bart M.

AU - Miley, Madeline L.

AU - Kiernan, Terri Ellen J.

AU - Bobrow, Bentley J.

AU - Corday, Doren A.

AU - Wellik, Kay E.

AU - Aguilar, Maria I.

AU - Ingall, Timothy J.

AU - Dodick, David W.

AU - Brazdys, Karina

AU - Koch, Tiffany C.

AU - Ward, Michael P.

AU - Richemont, Phillip C.

N1 - Funding Information: This study was funded by an Arizona Department of Health Services research grant ( HI754123 ), a Mayo Clinic research grant ( 90256993 ), the STRokE DOC Arizona—The Initial Mayo Experience (TIME) trial ( clinicaltrials.gov identifier: NCT00623350), and the Stroke Telemedicine for Arizona Rural Residents (STARR) Registry.

PY - 2009/1

Y1 - 2009/1

N2 - Stroke telemedicine is a consultative modality that facilitates care of patients with acute stroke at underserviced hospitals by specialists at stroke centers. The design and implementation of a hub-and-spoke telestroke network are complex. This review describes the technology that makes stroke telemedicine possible, the members that should be included in a telestroke team, the hub-and-spoke characteristics of a telestroke network, and the format of a typical consultation. Common obstacles to the practice of telestroke medicine are explored, such as medicolegal, economic, and market issues. An example of a state-based telestroke network is thoroughly described, and established international telestroke networks are presented and compared. The opportunities for future advances in telestroke practice, research, and education are considered.

AB - Stroke telemedicine is a consultative modality that facilitates care of patients with acute stroke at underserviced hospitals by specialists at stroke centers. The design and implementation of a hub-and-spoke telestroke network are complex. This review describes the technology that makes stroke telemedicine possible, the members that should be included in a telestroke team, the hub-and-spoke characteristics of a telestroke network, and the format of a typical consultation. Common obstacles to the practice of telestroke medicine are explored, such as medicolegal, economic, and market issues. An example of a state-based telestroke network is thoroughly described, and established international telestroke networks are presented and compared. The opportunities for future advances in telestroke practice, research, and education are considered.

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Stroke telemedicine

Abstract

ASJC Scopus subject areas

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