Stroke telemedicine.
Demaerschalk BM,
Miley ML,
Kiernan TE,
Bobrow BJ,
Corday DA,
Wellik KE,
Aguilar MI,
Ingall TJ,
Dodick DW,
Brazdys K,
Koch TC,
Ward MP,
Richemont PC;
STARR Coinvestigators.
Aguilar MI, Bobrow BJ, Demaerschalk BM, Dodick DW, Ingall TJ, Kiernan TE, Spencer BR, Barnes J, Butler M, Carman C, Esposito R, McMurtry E, Scott BE, Sheehy ME, Vitale S, Ward MP, Auer KL, Boyack B, Bradbury A, Brecheisen M, Buckwalter D, Chipman M, Coggins M, Dyer D, Harper MK, Khalid A, Martinez J, McMurtry M, Rode S, Sheperd S, Washut T, Windsor M, Zaharoff N, Brenner AS, Brueske DK, Carson JB, Cushner D, Dickson M, Dowhan DS, Greven-Garcia RC, Haynes DE, Kelchner JL, Lewis JD, Richemont PC.
Source
Department of Neurology, Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA. demaerschalk.bart@mayo.edu
Erratum in
- Mayo Clin Proc. 2010 Apr;85(4):400.
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.
- PMID:
- 19121244
- [PubMed - indexed for MEDLINE]
- PMCID:
- PMC2664571
Free PMC ArticleFIGURE 1.
A spoke hospital emergency physician at a mock patient's bedside is assisting the hub hospital stroke neurologist with the examination.
Mayo Clin Proc. Mayo Clin Proc;84(1):53-64.
FIGURE 3.
The BF Technologies (San Diego, CA) Stroke Team Remote Evaluation Using a Digital Observation Camera used for the Stroke Telemedicine for Arizona Rural Residents study.
Mayo Clin Proc. Mayo Clin Proc;84(1):53-64.
FIGURE 5.
Map of current North American and European telestroke networks. REACH = Remote Evaluation of Acute Ischemic Stroke; RUN-Stroke = Emergency Neurology Network-Stroke; STARR = Stroke Telemedicine for Arizona Rural Residents; STENO = Stroke Network of University of Erlangen; STRokE DOC = Stroke Team Remote Evaluation Using a Digital Observation Camera; TEMPiS = Telemedic Project for Integrative Stroke Care; TESS = Telemedicine in Stroke in Swabia.
Mayo Clin Proc. Mayo Clin Proc;84(1):53-64.
FIGURE 2.
A hub hospital stroke neurologist and research coordinator are conducting a 2-way audiovisual telestroke consultation with the spoke hospital.
Mayo Clin Proc. Mayo Clin Proc;84(1):53-64.
FIGURE 4.
The Stroke Telemedicine for Arizona Rural Residents network map outlining hub and spoke (current and potential) hospitals.
Mayo Clin Proc. Mayo Clin Proc;84(1):53-64.
Publication Types
MeSH Terms
Secondary Source ID
Full Text Sources
Other Literature Sources
Medical