Authors
Ather Taqui, Russell Cerejo, Ahmed Itrat, Farren BS Briggs, Andrew P Reimer, Stacey Winners, Natalie Organek, Andrew B Buletko, Lila Sheikhi, Sung-Min Cho, Maureen Buttrick, Megan M Donohue, Zeshaun Khawaja, Dolora Wisco, Jennifer A Frontera, Andrew N Russman, Fredric M Hustey, Damon M Kralovic, Peter Rasmussen, Ken Uchino, Muhammad S Hussain, Cleveland Pre-Hospital Acute Stroke Treatment (PHAST) Group
Publication date
2017/4/4
Journal
Neurology
Volume
88
Issue
14
Pages
1305-1312
Publisher
Lippincott Williams & Wilkins
Description
Objective
To compare the times to evaluation and thrombolytic treatment of patients treated with a telemedicine-enabled mobile stroke treatment unit (MSTU) vs those among patients brought to the emergency department (ED) via a traditional ambulance.
Methods
We implemented a MSTU with telemedicine at our institution starting July 18, 2014. A vascular neurologist evaluated each patient via telemedicine and a neuroradiologist and vascular neurologist remotely assessed images obtained by the MSTU CT. Data were entered in a prospective registry. The evaluation and treatment of the first 100 MSTU patients (July 18, 2014–November 1, 2014) was compared to a control group of 53 patients brought to the ED via a traditional ambulance in 2014. Times were expressed as medians with their interquartile ranges.
Results
Patient and stroke severity characteristics were similar between 100 MSTU and 53 ED control …
Scholar articles
A Taqui, R Cerejo, A Itrat, FBS Briggs, AP Reimer… - Neurology, 2017