Yadav Jayant Kumar, Nepal Gaurav, Shing Yow Ka, Banerji Rohit Raman, Gajurel Bikram Prasad
Department of Internal Medicine, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Department of Internal Medicine, National University Hospital, Singapore.
Ann Med Surg (Lond). 2021 Nov 25;72:103115. doi: 10.1016/j.amsu.2021.103115. eCollection 2021 Dec.
The South Asian region accounts for more than 40% of the stroke burden of the developing world and is the highest contributor to global stroke mortality. Despite proven treatment guidelines, the limited number of neurologists, the number of dedicated stroke centers and the fact that most of these facilities are urban-centric renders poor access to thrombolysis in this region, especially in the rural areas. Studies have shown that thrombolysis using telestroke services are comparable to face-to-face thrombolysis. Telestroke, conducted through low-cost media such as smartphones or laptops, may form a cost-effective solution to improve access to appropriate stroke care in a resource-limited setting such as that of the South Asian region.
南亚地区的中风负担占发展中世界的40%以上,是全球中风死亡率的最大贡献者。尽管有经过验证的治疗指南,但神经科医生数量有限、专门的中风中心数量有限,而且这些设施大多以城市为中心,这使得该地区尤其是农村地区难以获得溶栓治疗。研究表明,使用远程中风服务进行溶栓与面对面溶栓效果相当。通过智能手机或笔记本电脑等低成本媒体进行的远程中风服务,可能成为一种具有成本效益的解决方案,以改善在南亚地区这样资源有限的环境中获得适当中风护理的机会。