干旱区生态环境知识资源中心(Arid): Expanding Acute Stroke Care in Rural America: A Model for Statewide Success

Arid

DOI	10.1089/tmj.2019.0087
	Expanding Acute Stroke Care in Rural America: A Model for Statewide Success
	Adcock, Amelia K.1,2; Choi, Justin 3; Alvi, Muhammad 2; Murray, Ann 2; Seachrist, Eric 2; Smith, Matthew 2; Findley, Scott 4
通讯作者	Adcock, Amelia K.
来源期刊	TELEMEDICINE AND E-HEALTH
ISSN	1530-5627
EISSN	1556-3669
出版年	2020
卷号	26 期号:7 页码:865-871
英文摘要	Background: The state of West Virginia (WV) is often seen as a health care desert with a scarcity of hospitals and resources. The prevalence of cerebrovascular disease and associated comorbidities are also some of the highest in the nation. Introduction: Ischemic stroke is a time-sensitive diagnosis. Prompt treatment in WV is difficult due to limited and isolated stroke-ready hospitals. Adoption of telestroke has helped to bypass these obstacles and improve access to care. Materials and Methods: Retrospective analyses; using data from the American Heart Association's Get With The Guidelines Stroke Data Registry, and other statewide agencies, we looked for trends in the volume of patients treated with intravenous-tissue plasminogen activator (tPA) in WV. We also reviewed data from West Virginia University's (WVU) telestroke database to assess trends in consult volumes and quality metrics. Results: Since the establishment of WVU telestroke, the total number of stroke patients receiving tPA across the state increased by 173% from 2015 (259 patients) to 2018 (448 patients) (p < 0.0001). Telestroke consults made up 24% (107/448) of total statewide tPA administrations for 2018. Between 2016 and 2018, the total symptomatic hemorrhage rate for tPA treated patients through telestroke was 1% (3/292). Telestroke also facilitated local care by avoiding patient transfer on average 65% of the time. Conclusion: Not only has telestroke increased the quantity of treated acute ischemic strokes, but it has also done so safely and effectively even in resource-poor areas. These findings demonstrate that telestroke is a useful tool for treating strokes, particularly those that happen far from stroke centers.
英文关键词	teleneurology telemedicine telehealth emergency medicine teletrauma
类型	Article
语种	英语
国家	USA
开放获取类型	Green Published
收录类别	SCI-E
WOS记录号	WOS:000490152400001
WOS关键词	THROMBOLYSIS
WOS类目	Health Care Sciences & Services
WOS研究方向	Health Care Sciences & Services
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/219057
作者单位	1.Mayo Clin, Neurol, Phoenix, AZ USA; 2.West Virginia Univ, Sch Med, Dept Neurol, POB 9180,64 Med Ctr Dr,Suite 1310 HSS, Morgantown, WV 26506 USA; 3.West Virginia Univ, Sch Med, Morgantown, WV 26506 USA; 4.West Virginia Univ, Dept Emergency Med, Morgantown, WV 26506 USA
推荐引用方式 GB/T 7714	Adcock, Amelia K.,Choi, Justin,Alvi, Muhammad,et al. Expanding Acute Stroke Care in Rural America: A Model for Statewide Success[J],2020,26(7):865-871.
APA	Adcock, Amelia K..,Choi, Justin.,Alvi, Muhammad.,Murray, Ann.,Seachrist, Eric.,...&Findley, Scott.(2020).Expanding Acute Stroke Care in Rural America: A Model for Statewide Success.TELEMEDICINE AND E-HEALTH,26(7),865-871.
MLA	Adcock, Amelia K.,et al."Expanding Acute Stroke Care in Rural America: A Model for Statewide Success".TELEMEDICINE AND E-HEALTH 26.7(2020):865-871.