REACH - Clinical feasibility of a rural telestroke network

被引：135

作者：

Hess, DC ^{[1
]}

Wang, S

Hamilton, W

Lee, S

Pardue, C

Waller, JL

Gross, H

Nichols, F

Hall, C

Adams, RJ

机构：

[1] Med Coll Georgia, Dept Neurol, Augusta, GA 30912 USA

[2] Med Coll Georgia, Dept Biostat, Augusta, GA 30912 USA

[3] Med Coll Georgia, Dept Emergency Med, Augusta, GA 30912 USA

[4] Mayo Clin Rochester, Dept Neurol, Rochester, MI USA

[5] Med Coll Georgia Hlth Incorp, Augusta, GA 30912 USA

来源：

STROKE | 2005年 / 36卷 / 09期

关键词：

tissue plasminogen activator; stroke; acute; ischemic; telemedicine;

D O I：

10.1161/01.STR.0000177534.02969.e4

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose - Development of stroke networks is critical to bringing guideline- driven stroke care to rural, underserved areas. Methods - A Web-based telestroke tool, REACH, was developed to provide a foundation for a rural stroke network that delivered acute stroke consults 24 hours per day 7 days per week to 8 rural community hospitals in Georgia. Results - There were 194 acute stroke consults delivered. Thirty patients were treated with tissue plasminogen activator (tPA). The mean National Institutes of Health Stroke Score (NIHSS) was 15.4, and the median NIHSS was 12.5. The mean onset to treatment time (OTT) was 122 minutes. The OTT dropped from 143 minutes in the first 10 patients treated to 111 minutes in last 20 patients. Of the 30 patients treated with tPA, 23% (7) were treated in <= 90 minutes and 60% (18) were treated within 2 hours. There were no symptomatic intracerebral hemorrhages. Conclusions - The REACH telestroke system permits the rapid and safe use of tPA in rural community hospitals. Over time, the system became more efficient and OTT decreased.

引用

页码：2018 / 2020

页数：3

共 14 条

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