Stroke telemedicine.

TitleStroke telemedicine.
Publication TypeJournal Article
Year of Publication2009
AuthorsDemaerschalk BM, Miley ML, Kiernan T-EJ, Bobrow BJ, Corday DA, Wellik KE, Aguilar MI, Ingall TJ, Dodick DW, Brazdys K, Koch TC, Ward MP, Richemont PC
Corporate AuthorsSTARR Coinvestigators
JournalMayo Clin Proc
Volume84
Issue1
Pagination53-64
Date Published2009
ISSN Number1942-5546
KeywordsEmergency Service, Hospital, Humans, Stroke, Telemedicine
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.

DOI10.1016/S0025-6196(11)60808-2
Alternate JournalMayo Clin. Proc.
PubMed ID19121244
PubMed Central IDPMC2664571