June 1, 2004Stroke

Remote Evaluation of Acute Ischemic Stroke in Rural Community Hospitals in Georgia

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Why the study?

Does the REACH telemedicine system enable safe and timely administration of tPA for acute ischemic stroke in rural hospitals?

Structured PICO

Does the REACH telemedicine system enable safe and timely administration of tPA for acute ischemic stroke in rural hospitals?

Population

n=75 patients evaluated for acute ischemic stroke across 5 rural hospitals in east Georgia.

Intervention

Remote Evaluation for Acute Ischemic Stroke (REACH) program, a telemedicine system allowing remote stroke physicians to perform NIHSS evaluations, review CT images, and direct local ED staff to administer tissue-type plasminogen activator (tPA).

Outcome

System performance and process metrics including number of patients evaluated, tPA administration rate, safety (intracranial hemorrhage), and time metrics (onset to door, door to consult, door to NIHSS completion, onset to needle).

The REACH telemedicine system enables rapid remote evaluation and safe administration of tPA for acute ischemic stroke in rural community hospitals lacking local stroke expertise.

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

Supports rural tPA feasibility without ICH; hypothesis-generating and requires RCTs before practice change.

Cite This Study

Wang et al. (2004) studied this question.

synapsesocial.com/papers/6a722a6f2163a0a01bc5f84b https://doi.org/10.1161/01.str.0000131858.63829.6e

View Full Paper

Ask AI

Bookmark

Remote Evaluation of Acute Ischemic Stroke in Rural Community Hospitals in Georgia

Structured PICO

Discussion

Implication

Cite This Study

Remote Evaluation of Acute Ischemic Stroke in Rural Community Hospitals in Georgia

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Also Consider