Remote Supervision of IV-tPA for Acute Ischemic Stroke by Telemedicine or Telephone Before Transfer to a Regional Stroke Center Is Feasible and Safe | Zendy

Muhammad A. Pervez | Zendy; Gisele Rodrigues da Silva | Zendy; Shihab Masrur | Zendy; Rebecca A. Betensky | Zendy; Karen L. Furie | Zendy; Renzo Hidalgo | Zendy; Fabrício Oliveira Lima | Zendy; Eric S. Rosenthal | Zendy; Natalia S. Rost | Zendy; Anand Viswanathan | Zendy; Lee H. Schwamm | Zendy

Open Access

Remote Supervision of IV-tPA for Acute Ischemic Stroke by Telemedicine or Telephone Before Transfer to a Regional Stroke Center Is Feasible and Safe

Author(s) -

Muhammad A. Pervez,

Gisele Rodrigues da Silva,

Shihab Masrur,

Rebecca A. Betensky,

Karen L. Furie,

Renzo Hidalgo,

Fabrício Oliveira Lima,

Eric S. Rosenthal,

Natalia S. Rost,

Anand Viswanathan,

Lee H. Schwamm

Publication year - 2009

Publication title -

stroke

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.397

H-Index - 319

eISSN - 1524-4628

pISSN - 0039-2499

DOI - 10.1161/strokeaha.109.560169

Subject(s) - medicine , thrombolysis , telemedicine , stroke (engine) , tissue plasminogen activator , emergency medicine , modified rankin scale , bridging (networking) , retrospective cohort study , economic shortage , medical emergency , ischemic stroke , surgery , health care , ischemia , myocardial infarction , computer network , mechanical engineering , linguistics , philosophy , government (linguistics) , computer science , engineering , economics , economic growth

Because of a shortage of stroke specialists, many outlying or "spoke" hospitals initiate intravenous (IV) thrombolysis using telemedicine or telephone consultation before transferring patients to a regional stroke center (RSC) hub. We analyzed complications and outcomes of patients treated with IV tissue plasminogen activator (tPA) using the "drip and ship" approach compared to those treated directly at the RSC.

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