Stroke telemedicine

Mayo Clin Proc. 2009;84(1):53-64. doi: 10.1016/S0025-6196(11)60808-2.

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.

Trial registration: ClinicalTrials.gov NCT00623350.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Emergency Service, Hospital
  • Humans
  • Stroke / therapy*
  • Telemedicine / methods*

Associated data

  • ClinicalTrials.gov/NCT00623350