What question did this study set out to answer?

To evaluate the feasibility, safety, and 3-month functional outcomes of intravenous thrombolysis delivered through a telestroke network in community hospitals compared with an academic medical center.

March 3, 2011Neurology

Two years of Finnish Telestroke

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To evaluate the feasibility, safety, and 3-month functional outcomes of intravenous thrombolysis delivered through a telestroke network in community hospitals compared with an academic medical center.
Prospective cohort study conducted from 2007 to 2009 across 5 Finnish community hospitals connected via bidirectional videoconferencing to Helsinki University Central Hospital (HUCH).
Characteristics and 3-month outcomes of telestroke-guided thrombolysis cases were compared against consecutive on-site thrombolysis patients treated at HUCH (n = 985).
Telestroke consultations (n = 106) resulted in intravenous thrombolysis in 57.5% (61/106) of patients, with a median onset-to-treatment time of 120 minutes and a symptomatic intracranial hemorrhage rate of 6.7% (4/60).
Favorable functional outcome at 3 months (modified Rankin Scale 0–2) was 49.1% (28/57) in the telestroke group versus 58.1% at HUCH (p = 0.214).
Excellent recovery (modified Rankin Scale 0–1) occurred in 29.4% (17/57) of telestroke patients compared to 36.8% (352/957) of HUCH patients (p = 0.289).

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Implication

Prospective cohort study shows comparable functional outcomes for telestroke thrombolysis in community hospitals, indicating remote consultation safely expands acute stroke care.

Cite This Study

Sairanen et al. (2011) studied this question.

synapsesocial.com/papers/6a7d95db71280c8641cda41e https://doi.org/10.1212/wnl.0b013e318212a8d4

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Implication

Prospective cohort study shows comparable functional outcomes for telestroke thrombolysis in community hospitals, indicating remote consultation safely expands acute stroke care.

Two years of Finnish Telestroke

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Discussion

Implication

Cite This Study

Two years of Finnish Telestroke

Key Points

Discussion

Implication

Cite This Study

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