Using telemedicine to facilitate thrombolytic therapy for patients with acute stroke.
Jt Comm J Qual Patient Saf
; 32(4): 199-205, 2006 Apr.
Article
em En
| MEDLINE
| ID: mdl-16649650
ABSTRACT
BACKGROUND:
Recent stroke-care requirements state that all stroke patients should be screened for intravenous recombinant tissue plasminogen activator (rt-PA) and treated, if the appropriate inclusion and exclusion criteria are met. Two community hospitals 90-130 miles east of Houston deployed telemedicine (videoteleconferencing) to provide acute stroke consultative services. DEVELOPING A TELEMEDICINE CAPACITY According to the Brain Attack Coalition's recommendations, neurosurgical services need to be accessible within two hours. Given their incomplete neurology coverage, the remote-site hospitals identified telemedicine as the best option, with the University of Texas Health Science Center at Houston stroke team as the provider of expertise.RESULTS:
In the 13 months preceding the telemedicine project (January 2003-March 2004), 2 (.8%) of 327 patients received rt-PA, compared with 14 (4.3%) of 328 patients during the telemedicine project (April 2004-May 2005), p < .001). Seven patients had > or = 4 points improvement in a stroke scale at 24 hours posttreatment. Three patients worsened during the 24-hour assessment. No intracerebral hemorrhages occurred. Door-to-needle median time was 85 minutes (range, 27-165 minutes).DISCUSSION:
Telemedicine facilitated thrombolytic therapy for acute stroke patients and is intended not to replace care provided by remote-site providers but rather to address a time- and spatially related emergency need.
Buscar no Google
Base de dados:
MEDLINE
Assunto principal:
Encaminhamento e Consulta
/
Terapia Trombolítica
/
Telemedicina
/
Acidente Vascular Cerebral
Tipo de estudo:
Guideline
/
Prognostic_studies
Limite:
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Jt Comm J Qual Patient Saf
Assunto da revista:
SERVICOS DE SAUDE
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos