Improving Population Access to Stroke Expertise Via Telestroke: Hospitals to Target and the Potential Clinical Benefit

eperfusion with thrombolysis or endovascular thrombectomy leads to improved outcomes in patients with ischemic stroke (IS). 1 For patients presenting to hospitals without onsite stroke expertise, telestroke is associated with increased reperfusion and decreased mortality. The largest benefits are observed in hospitals with lower stroke volumes, 2 however, they are least likely to have telestroke. e outline a strategy to identify US hospitals without acute stroke expertise where telestroke implementation might improve stroke care, and estimate improvements in both number of patients receiving reperfusion treatment (thrombolysis or thrombectomy) and lives saved.