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Verfasst von:Tunkl, Christine [VerfasserIn]   i
 Agarwal, Ayush [VerfasserIn]   i
 Ramage, Emily [VerfasserIn]   i
 Velez, Faddi Saleh [VerfasserIn]   i
 Roushdy, Tamer [VerfasserIn]   i
 Ullberg, Teresa [VerfasserIn]   i
 Li, Linxin [VerfasserIn]   i
 Carbonera, Leonardo A [VerfasserIn]   i
 Yusof Khan, Abdul Hanif Khan [VerfasserIn]   i
 Ciopleias, Bogdan [VerfasserIn]   i
 Law, Zhe Kang [VerfasserIn]   i
 Katsanos, Aristeidis H [VerfasserIn]   i
 Heldner, Mirjam R [VerfasserIn]   i
 Khan, Maria [VerfasserIn]   i
 Matuja, Sarah [VerfasserIn]   i
 Alet, Matias J [VerfasserIn]   i
 Lagos-Servellón, Javier [VerfasserIn]   i
 Minhas, Jatinder S [VerfasserIn]   i
 Zuurbier, Susanna M [VerfasserIn]   i
 Mosconi, Maria Giulia [VerfasserIn]   i
 Lotlikar, Radhika [VerfasserIn]   i
 Elkady, Ahmed [VerfasserIn]   i
 Gerner, Stefan T [VerfasserIn]   i
 Shreyan, Shirsho [VerfasserIn]   i
 Krauß, Alexandra [VerfasserIn]   i
 Gumbinger, Christoph [VerfasserIn]   i
 Srivastava, Padma [VerfasserIn]   i
 Kiper, Pawel [VerfasserIn]   i
 Ohannessian, Robin [VerfasserIn]   i
 Berberich, Anne [VerfasserIn]   i
 Sampaio Silva, Gisele [VerfasserIn]   i
 Ranta, Anna [VerfasserIn]   i
Titel:Telemedicine networks for acute stroke
Titelzusatz:an analysis of global coverage, gaps, and opportunities
Verf.angabe:Christine Tunkl, Ayush Agarwal, Emily Ramage, Faddi Saleh Velez, Tamer Roushdy, Teresa Ullberg, Linxin Li, Leonardo A Carbonera, Abdul Hanif Khan Yusof Khan, Bogdan Ciopleias, Zhe Kang Law, Aristeidis H Katsanos, Mirjam R Heldner, Maria Khan, Sarah Matuja, Matias J Alet, Javier Lagos-Servellón, Jatinder S Minhas, Susanna M Zuurbier, Maria Giulia Mosconi, Radhika Lotlikar, Ahmed Elkady, Stefan T Gerner, Shirsho Shreyan, Alexandra Krauss, Christoph Gumbinger, Padma Srivastava, Pawel Kiper, Robin Ohannessian, Anne Berberich, Gisele Sampaio Silva and Anna Ranta
E-Jahr:2025
Jahr:March 2025
Umfang:13 S.
Illustrationen:Illustrationen
Fussnoten:Online verfügbar: 26. Oktober 2024 ; Gesehen am 04.06.2025
Titel Quelle:Enthalten in: International journal of stroke
Ort Quelle:London : Sage, 2005
Jahr Quelle:2025
Band/Heft Quelle:20(2025), 3 vom: März, Seite 297-309
ISSN Quelle:1747-4949
Abstract:Background: Despite the proven efficacy of telestroke in improving clinical outcomes by providing access to specialized expertise and allowing rapid expert hyperacute stroke management and decision-making, detailed operational evidence is scarce, especially for less developed or lower income regions. - Aim: We aimed to map the global telestroke landscape and characterize existing networks. - Methods: We employed a four-tiered approach to comprehensively identify telestroke networks, primarily involving engagement with national stroke experts, stroke societies, and international stroke authorities. A carefully designed questionnaire was then distributed to the leaders of all identified networks to assess these networks’ structures, processes, and outcomes. - Results: We identified 254 telestroke networks distributed across 67 countries. High-income countries (HICs) concentrated 175 (69%) of the networks. No evidence of telestroke services was found in 58 (30%) countries. From the identified networks, 88 (34%) completed the survey, being 61 (71%) located in HICs. Network setup was highly heterogeneous, ranging from 17 (22%) networks with more than 20 affiliated hospitals, providing thousands of annual consultations using purpose-built highly specialized technology, to 11 (13%) networks with fewer than 120 consultations annually using generic videoconferencing equipment. Real-time video and image transfer was employed in 64 (75%) networks, while 62 (74%) conducting quality monitoring. Most networks established in the past 3 years were located in low- and middle-income countries (LMICs). - Conclusion: This comprehensive global survey of telestroke networks found significant variation in network coverage, setup, and technology use. Most services are in HICs, and a few services are in LMICs, although an emerging trend of new networks in these regions marks a pivotal moment in global telestroke care. The wide variation in quality monitoring practices across networks, with many failing to report key performance metrics, underscores the urgent need for standardized, resource-appropriate, quality assurance measures that can be adapted to diverse settings.
DOI:doi:10.1177/17474930241298450
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

kostenfrei: Volltext: https://doi.org/10.1177/17474930241298450
 kostenfrei: Volltext: https://journals.sagepub.com/doi/10.1177/17474930241298450
 DOI: https://doi.org/10.1177/17474930241298450
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1927443636
Verknüpfungen:→ Zeitschrift

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