Authors
Sami Al Kasab, Jillian B Harvey, Ellen Debenham, David J Jones, Nancy Turner, Christine A Holmstedt
Publication date
2018/2/1
Journal
Telemedicine and e-Health
Volume
24
Issue
2
Pages
111-115
Publisher
Mary Ann Liebert, Inc.
Description
Background: The implementation of telestroke programs has allowed patients living in rural areas suffering from acute ischemic stroke to receive expert acute stroke consultation and intravenous Alteplase (tPA). The purpose of this study is to compare door to needle (DTN) time when tPA is administered at telestroke sites (spokes) through telestroke consultations compared to tPA administration at the comprehensive stroke center (hub).
Methods: Data on all patients who received intravenous tPA at the hub and spoke hospitals through a large telestroke program between May 2008 and December 2016 were collected. Baseline characteristics were compared between the two groups, and the percentage of patients meeting DTN guidelines was compared between the hub and spoke hospitals during the study period. Comparison of DTN before and after the implementation of a quality improvement project was …
Scholar articles
S Al Kasab, JB Harvey, E Debenham, DJ Jones… - Telemedicine and e-Health, 2018