Authors
Ahmed Itrat, Ather Taqui, Russell Cerejo, Farren Briggs, Sung-Min Cho, Natalie Organek, Andrew P Reimer, Stacey Winners, Peter Rasmussen, Muhammad S Hussain, Ken Uchino
Publication date
2016/2/1
Journal
JAMA neurology
Volume
73
Issue
2
Pages
162-168
Publisher
American Medical Association
Description
Importance
Mobile stroke treatment units (MSTUs) with on-site treatment teams that include a vascular neurologist can provide thrombolysis in the prehospital setting faster than treatment in the hospital. These units can be made more resource efficient if the need for an on-site neurologist can be eliminated by relying solely on telemedicine for physician presence.
Objective
To test whether telemedicine is reliable and remote physician presence is adequate for acute stroke treatment using an MSTU.
Design, Setting, and Participants
Prospective observational study conducted between July 18 and November 1, 2014. The dates of the study analysis were November 1, 2014, to March 30, 2015. The setting was a community-based study assessing telemedicine success of the MSTU in Cleveland, Ohio. Participants were the first 100 residents of Cleveland who had an acute onset of stroke-like symptoms between 8amand …
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