Telestroke: effective networking

Telestroke: effective networking
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DOI:
10.1016/s1474-4422(06)70378-7
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发表时间:
2006-03-01
期刊:
影响因子:
48
通讯作者:
Audebert, H
Audebert, H
中科院分区:
医学1区
文献类型:
--
作者:
Audebert, H

文献摘要

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尽管卒中单元和全身溶栓治疗是有效的,但由于普遍缺乏专业知识,这两种治疗方法的使用受到限制。新的电信技术可以帮助克服神经学服务不足地区缺乏急救提供者支持的问题。“远程卒中”作为远程医疗在急性卒中中的应用,目前正从可行性走向常规应用。远程神经学检查是可靠的,通过远程医疗会诊可以延长全身溶栓时间。然而,远程卒中在整体急性卒中治疗方面提供了更大的潜力。一方面,它通过启动医院间转移提供快速获得专业干预的途径,另一方面,它可能导致基础现场中风治疗的重大改进。
Although stroke units and systemic thrombolysis are effective, use of these two treatment methods is restricted because of a widespread lack of expertise. New telecommunication technologies can help to overcome the lack of emergency-provider support in neurologically underserved areas. The status of "telestroke" as the application of telemedicine for acute stroke is presently passing from feasibility to routine use. Teleneurological examination is reliable and systemic thrombolysis can be extended with telemedical consultation. Telestroke, however, offers even more potential in overall acute stroke management. On the one hand, it provides rapid access to specialised interventions through initiation of interhospital transfers, and on the other hand, it might lead to major improvements in basic on-site stroke therapy.