What question did this study set out to answer?

To assess the 12- and 30-month outcomes of acute stroke patients treated in community hospitals equipped with specialized stroke units and telemedical support compared with conventional care.

November 21, 2008StrokeOpen Access

Long-Term Effects of Specialized Stroke Care With Telemedicine Support in Community Hospitals on Behalf of the Telemedical Project for Integrative Stroke Care (TEMPiS)

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Authors

HAHeinrich J. AudebertHumboldt-Universität zu Berlin KSKathrin Schultes VTViola Tietz

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Implication

Prospective interventional study demonstrates reduced death and dependency in acute stroke patients, indicating sustained benefits of telemedicine-supported community care.

Key Points

To assess the 12- and 30-month outcomes of acute stroke patients treated in community hospitals equipped with specialized stroke units and telemedical support compared with conventional care.
Conducted a prospective, nonrandomized intervention study comparing 5 community hospitals in the TEMPiS telemedical network with 5 matched control hospitals without specialized stroke wards or telemedical consultation.
Evaluated 3060 consecutive patients with ischemic or hemorrhagic stroke (1938 in TEMPiS hospitals, 1122 in control hospitals) admitted between July 2003 and March 2005, with follow-up at 12 and 30 months.
Assessed death and dependency (defined as death, institutional care, Barthel index <60, or modified Rankin scale >3) and death or institutional care alone using multivariable regression analysis.
Telemedical network intervention significantly reduced death and dependency at 12 months (OR, 0.65; 95% CI, 0.54–0.78; P<0.01) and at 30 months (OR, 0.82; 95% CI, 0.68–0.98; P=0.031).
No significant difference was observed between groups for death or institutional care alone at 12 months (OR, 0.89; 95% CI, 0.75–1.07; P=0.23) or at 30 months (OR, 0.93; 95% CI, 0.78–1.11; P=0.40).

Cite This Study

Audebert et al. (2008) studied this question.

synapsesocial.com/papers/6a8564c4a95ccb34714e216e https://doi.org/10.1161/strokeaha.108.529255

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Implication

Prospective interventional study demonstrates reduced death and dependency in acute stroke patients, indicating sustained benefits of telemedicine-supported community care.

Long-Term Effects of Specialized Stroke Care With Telemedicine Support in Community Hospitals on Behalf of the Telemedical Project for Integrative Stroke Care (TEMPiS)

Discussion

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Implication

Key Points

Cite This Study

Long-Term Effects of Specialized Stroke Care With Telemedicine Support in Community Hospitals on Behalf of the Telemedical Project for Integrative Stroke Care (TEMPiS)

Discussion

Member takes

Implication

Key Points

Cite This Study

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