What question did this study set out to answer?

To assess the feasibility, efficiency, and clinical safety of a 24/7 web-based telestroke network serving rural community hospitals.

July 29, 2005Stroke

Reach

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To assess the feasibility, efficiency, and clinical safety of a 24/7 web-based telestroke network serving rural community hospitals.
Implemented REACH, a web-based telestroke consultation tool operating 24 hours a day, 7 days a week across 8 rural community hospitals in Georgia.
Tracked acute consult volume, tissue plasminogen activator (tPA) use, stroke severity scores, onset to treatment time (OTT), and safety complications.
Completed 194 acute stroke consults, leading to tPA treatment in 30 patients with a mean NIHSS of 15.4 and median NIHSS of 12.5.
Achieved an overall mean OTT of 122 minutes, which improved from 143 minutes in the first 10 patients to 111 minutes in the last 20 patients.
Administered tPA within 90 minutes in 23% (n=7) and within 2 hours in 60% (n=18) of treated patients, with 0 symptomatic intracerebral hemorrhages observed.

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Implication

Implementation study demonstrates safe and rapid thrombolytic administration in rural hospitals via a telestroke network, indicating improved access to acute emergency care.

Cite This Study

Hess et al. (2005) studied this question.

synapsesocial.com/papers/6a175f9dcf49e78c48b3f82a https://doi.org/10.1161/01.str.0000177534.02969.e4

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Implication

Implementation study demonstrates safe and rapid thrombolytic administration in rural hospitals via a telestroke network, indicating improved access to acute emergency care.

Reach

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Reach

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Implication

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