Ribó M, Alvarez-Sabín J
Unidad Neurovascular, Servicio de Neurología, Hospital General Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.
Rev Neurol. 2008;46(9):557-60.
In acute stroke patients, urgent expert neurologic evaluation and thrombolytic treatment within the first hours alter onset are the only proven effective therapeutic measures. Patients living far from large hospitals do not have access to these measures.
Implementing a telemedicine system allows that patients with suspected acute stroke admitted to a community hospital could be urgently evaluated by a specialized vascular neurologist located in a Reference Stroke Center. This paper reviews the best care access geographic equity imbalances created after the approval of acute stroke treatments and the solutions offered by the new telecommunication technologies.
Telemedicine systems allow around the clock specialized urgent evaluation of those patients arriving to hospitals lacking a neurologist on call. This may lead to the use of thrombolytic treatments in community hospitals under the supervision of an expert physician, reducing time to treatment and the number of unnecessary patient transfers to referral Stroke Centers.
在急性中风患者中，发病后最初几小时内进行紧急专家神经学评估和溶栓治疗是唯一经证实有效的治疗措施。居住在远离大型医院地区的患者无法获得这些治疗措施。
实施远程医疗系统可使入住社区医院的疑似急性中风患者由位于参考中风中心的专业血管神经科医生进行紧急评估。本文回顾了急性中风治疗获批后出现的最佳医疗服务可及性方面的地理公平性失衡问题，以及新通信技术提供的解决方案。
远程医疗系统可对那些到达没有随叫随到神经科医生的医院的患者进行全天候专业紧急评估。这可能会促使社区医院在专家医生的监督下使用溶栓治疗，减少治疗时间以及不必要地将患者转至转诊中风中心的次数。
