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Objective: To review the relationship between pre-admission tele-stroke triage modalities-tele-stroke video consultation (TVC), tele-stroke phone consultation (TPC), or no tele-stroke consultation (NTC)-and its influence on hospital outcomes Background: Tele-stroke video consultation facilitates thrombolytic decisions in acute care. Less is understood regarding acute tele-stroke triage and inpatient hospital metrics after admission. Design/Methods: We retrospectively reviewed routine inpatient stroke consultations (12/2022–7/2023) managed remotely in our tele-neurology network, and whether cases were preceded by TVC, TPC, or NTC. We excluded inpatient tele-stroke codes, thrombolytic cases, and patients transferred from the emergency department. We compared metrics including length of stay (LOS), transfer after admission (TAA), 30-day readmission, and discharge disposition among groups, controlling for …