Demaerschalk Bart M, Miley Madeline L, Kiernan Terri-Ellen J, Bobrow Bentley J, Corday Doren A, Wellik Kay E, Aguilar Maria I, Ingall Timothy J, Dodick David W, Brazdys Karina, Koch Tiffany C, Ward Michael P, Richemont Phillip C
Department of Neurology, Mayo Clinic Hospital, 5777 E Mayo Blvd, Phoenix, AZ 85054, USA.
Mayo Clin Proc. 2009;84(1):53-64. doi: 10.4065/84.1.53.
Stroke telemedicine is a consultative modality that facilitates care of patients with acute stroke at underserviced hospitals by specialists at stroke centers. The design and implementation of a hub-and-spoke telestroke network are complex. This review describes the technology that makes stroke telemedicine possible, the members that should be included in a telestroke team, the hub-and-spoke characteristics of a telestroke network, and the format of a typical consultation. Common obstacles to the practice of telestroke medicine are explored, such as medicolegal, economic, and market issues. An example of a state-based telestroke network is thoroughly described, and established international telestroke networks are presented and compared. The opportunities for future advances in telestroke practice, research, and education are considered.
中风远程医疗是一种咨询模式,通过中风中心的专家为服务不足的医院的急性中风患者提供便利的护理。中心辐射型远程中风网络的设计和实施很复杂。这篇综述描述了使中风远程医疗成为可能的技术、远程中风团队应包括的成员、远程中风网络的中心辐射型特征以及典型会诊的形式。探讨了远程中风医学实践中的常见障碍,如法医学、经济和市场问题。详细描述了一个基于州的远程中风网络的例子,并介绍和比较了已建立的国际远程中风网络。还考虑了远程中风实践、研究和教育未来进展的机会。