Hess David C, Wang Samuel, Gross Hartmut, Nichols Fenwick T, Hall Christiana E, Adams Robert J
Department of Neurology, Medical College of Georgia, Augusta, GA 30912, USA.
Lancet Neurol. 2006 Mar;5(3):275-8. doi: 10.1016/S1474-4422(06)70377-5.
Telestroke systems offer the opportunity to extend stroke-care expertise into rural and underserved areas. These systems are being used to give alteplase to patients with stroke in previously underserved areas safely, effectively, and rapidly. Telestroke will probably play a large part in improving the quality of stroke care and in enrolling patients into clinical trials in rural and community hospitals. One such telestroke system, REACH (remote evaluation of acute ischaemic stroke), is a low-cost, web-based system that allows the consultant to access the system from work, home, or on the road. REACH is presently being used to give alteplase and guide acute stroke care in eight rural community hospitals in Georgia.
远程卒中系统为将卒中护理专业知识扩展到农村及医疗服务不足地区提供了契机。这些系统正被用于在以前医疗服务不足的地区为卒中患者安全、有效且迅速地给予阿替普酶。远程卒中很可能在改善卒中护理质量以及让农村和社区医院的患者参与临床试验方面发挥重要作用。一种这样的远程卒中系统，即REACH（急性缺血性卒中远程评估），是一种低成本的基于网络的系统，它允许会诊医生在工作场所、家中或在路上访问该系统。目前，REACH正在佐治亚州的八家农村社区医院用于给予阿替普酶并指导急性卒中护理。
