Carmen Jiménez M, Tur Silvia, Legarda Inés, Vives Bárbara, Gorospe Arantza, José Torres M, Merino Paz, Campillo Carlos
Servicio de Neurología, Hospital Universitari Son Espases, Ctra. Valldemossa, 79. E-07010 Palma de Mallorca, España.
Rev Neurol. 2012 Jan 1;54(1):31-40.
Currently, clinical benefits of stroke units and thrombolysis in ischaemic stroke are evidence-based. However, inequities in coverage and in treatment provided to these patients still persist due to geographical differences in residence, technological capacity and organization among health care systems. Telestroke is considered to be an effective tool for reducing inequities in coverage and health outcomes of stroke patients.
This paper reviews the requirements of implementation of telestroke units, their deployment in the Health Service of the Balearic Islands, and the main experiences reported so far. Further, preliminary results of an ongoing formal assessment of effectiveness and safety of telestroke relative to conventional stroke treatment are advanced.
Implementation of a telestroke system is feasible and allows increasing specialized treatment coverage. The Health Service of the Balearic Islands is fulfilling its goal of improving thrombolysis coverage by means of telestroke. Its effectiveness and safety appear to be similar to those of conventional treatment.
目前，卒中单元和缺血性卒中溶栓治疗的临床益处已有循证依据。然而，由于医疗保健系统在居住地域、技术能力和组织方面存在差异，这些患者在覆盖范围和所接受治疗方面的不平等现象依然存在。远程卒中被认为是减少卒中患者覆盖范围和健康结局不平等的有效工具。
本文回顾了远程卒中单元的实施要求、其在巴利阿里群岛卫生服务中的部署情况以及迄今为止报道的主要经验。此外，还介绍了一项正在进行中的关于远程卒中相对于传统卒中治疗的有效性和安全性的正式评估的初步结果。
实施远程卒中系统是可行的，并且能够扩大专科治疗的覆盖范围。巴利阿里群岛卫生服务正在通过远程卒中实现提高溶栓治疗覆盖率的目标。其有效性和安全性似乎与传统治疗相似。
