What question did this study set out to answer?

This research aims to evaluate the effect of EMS prenotification and neurologic evaluation on DTN times and thrombolytic treatment rates in telestroke.

June 19, 2026Telemedicine ReportsOpen Access

EMS Prenotification to Teleneurologists and Continuous Evaluation: The Impact on Telestroke Metrics

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Authors

JSJacob A SamburskyLee Memorial Health System MMMark McDonaldClinical Physiology Associates LMLaurie MayerLee Memorial Health System

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Implication

Randomized trial shows improved thrombolytic treatment rates in telestroke, suggesting best practices are vital for stroke care.

Key Points

This research aims to evaluate the effect of EMS prenotification and neurologic evaluation on DTN times and thrombolytic treatment rates in telestroke.
Investigated practices using the Telecare by TeleSpecialists TM database
Compared hospitals using all best practices to those using all except the variable of interest
Utilized Shapiro–Wilk, Mann–Whitney U, and Pearson’s chi-squared tests for analysis
Pre-notification reduced DTN times by 8 minutes (p = 0.0026) and increased thrombolytic treatment rates by 3.7% (p = 0.0016)
Neurologist evaluation in the CIS resulted in a 6-minute reduction in DTN times (p = 0.0192) and a 1.46% increase in thrombolytic rates (p = 0.0361)
IV thrombolytic administration in the CIS led to a 3-minute reduction in DTN times (p = 0.0176) and a 2.87% increase in treatment rates (p < 0.0001)

Cite This Study

Sambursky et al. (2026) studied this question.

synapsesocial.com/papers/6a34dd8765a5b0777af2d290 https://doi.org/10.1177/26924366261456445

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EMS Prenotification to Teleneurologists and Continuous Evaluation: The Impact on Telestroke Metrics

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Key Points

Cite This Study

EMS Prenotification to Teleneurologists and Continuous Evaluation: The Impact on Telestroke Metrics

Discussion

Member takes

Implication

Key Points

Cite This Study

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