Alasheev A M, Hubert G J, Santo G C, Vanhooren G T, Zvan B, Campos S T, Abilleira S, Corea F
Sverdlovsk Regional Clinical Hospital #1, Ekaterinburg, Russia.
Department of Neurology, TEMPiS network, Munich Clinic, Munich, Germany.
Zh Nevrol Psikhiatr Im S S Korsakova. 2020;120(3. Vyp. 2):33-41. doi: 10.17116/jnevro202012003233.
This paper is an adapted translation of recommendations on telestroke provided by the European Stroke Organization. Lack of stroke specialists determines that many European rural areas remain underserved. Use of telemedicine in stroke care has shown to be safe, increase use of evidence-based therapy and enable coverage of large areas of low population density. An aim of the study is to summarise the following recommendations of the Telestroke Committee of the European Stroke Organization on the setup of telestroke networks in Europe: Hospitals participating in telestroke networks should be chosen according to criteria that include population density, transportation distance, geographic specifics and in-hospital infrastructure and professional resources. Three hospital categories are identified to be part of a hub-and-spoke network: (1) the Telemedicine Stroke Centre (an European Stroke Organization stroke centre or equivalent with specific infrastructure and setup for network and telemedicine support), (2) the telemedicine-assisted stroke Unit (equivalent to an European Stroke Organization stroke unit but without 24 h onsite stroke expertise) and (3) the telemedicine-assisted stroke ready hospital (only covering hyperacute treatment in the emergency department and transferring all patients for further treatment).
本文是对欧洲卒中组织提供的远程卒中建议的改编翻译。卒中专家的短缺导致许多欧洲农村地区的医疗服务仍然不足。在卒中护理中使用远程医疗已被证明是安全的，可增加基于证据的治疗的使用，并能覆盖人口密度低的大片地区。本研究的目的是总结欧洲卒中组织远程卒中委员会关于在欧洲建立远程卒中网络的以下建议：参与远程卒中网络的医院应根据包括人口密度、交通距离、地理特征以及医院内基础设施和专业资源等标准来选择。确定了三种医院类别作为中心辐射型网络的一部分：（1）远程医疗卒中中心（欧洲卒中组织卒中中心或具备网络和远程医疗支持的特定基础设施及设置的同等机构），（2）远程医疗辅助卒中单元（相当于欧洲卒中组织卒中单元，但没有24小时现场卒中专业知识），以及（3）远程医疗辅助卒中准备医院（仅在急诊科进行超急性期治疗，并将所有患者转诊进行进一步治疗）。
