Express improvement of acute stroke care accessibility in large regions using a centralized telestroke network.

Autor:	Barragán-Prieto A; Department of Neurology, Hospital Universitario Virgen Macarena, Sevilla, Spain.; Neurovascular Research Laboratory, Instituto de Biomedicina de Sevilla, Sevilla, Spain., Pérez-Sánchez S; Department of Neurology, Hospital Universitario Virgen Macarena, Sevilla, Spain.; Neurovascular Research Laboratory, Instituto de Biomedicina de Sevilla, Sevilla, Spain., Moniche F; Neurovascular Research Laboratory, Instituto de Biomedicina de Sevilla, Sevilla, Spain.; Department of Neurology, Hospital Universitario Virgen del Rocío, Sevilla, Spain., Moyano RV; Department of Neurology, Hospital Universitario Reina Sofía, Córdoba, Spain., Delgado F; Department of Interventional Neurorradiology, Hospital Universitario Reina Sofía, Córdoba, Spain., Martínez-Sánchez P; Department of Neurology, Hospital Universitario Torrecárdenas, Almería, Spain., Moya M; Department of Neurology, Hospital Universitario Puerta del Mar, Cádiz, Spain., Oropesa JM; Department of Neurology, Hospital Universitario Juan Ramón Jiménez, Huelva, Spain., Mínguez-Castellanos A; Department of Neurology, Hospital Universitario Virgen de las Nieves, Granada, Spain., Villegas I; Department of Neurology, Hospital Universitario San Cecilio, Granada, Spain., Álvarez Soria MJ; Department of Neurology, Hospital Universitario de Jaén, Jaén, Spain., Tamayo Toledo JA; Department of Neurology, Hospital Regional Universitario de Málaga, Málaga, Spain., de la Cruz Cosme C; Department of Neurology, Hospital Universitario Virgen de la Victoria, Málaga, Spain., Canto Neguillo R; Department of Emergency Medicine, Hospital de Alta Resolución Sierra Norte, Sevilla, Spain., Herrerías Esteban JM; Information Technology Department, Hospital Universitario Virgen Macarena, Sevilla, Spain., Montero Cobos DJ; Institute of Statistics and Cartography of Andalusia, Sevilla, Spain., Moreno Muñoz JA; Institute of Statistics and Cartography of Andalusia, Sevilla, Spain., González A; Neurovascular Research Laboratory, Instituto de Biomedicina de Sevilla, Sevilla, Spain.; Department of Interventional Neurorradiology, Hospital Universitario Virgen del Rocío, Sevilla, Spain., Montaner J; Department of Neurology, Hospital Universitario Virgen Macarena, Sevilla, Spain.; Neurovascular Research Laboratory, Instituto de Biomedicina de Sevilla, Sevilla, Spain.
Jazyk:	angličtina
Zdroj:	European stroke journal [Eur Stroke J] 2022 Sep; Vol. 7 (3), pp. 259-266. Date of Electronic Publication: 2022 May 25.
DOI:	10.1177/23969873221101282
Abstrakt:	Introduction: Acute ischemic stroke therapy has improved in recent decades, decreasing the rates of disability and death among stroke patients. Unfortunately, all health care systems have geographical disparities in infrastructure for stroke patients. A centralized telestroke network might be a low-cost strategy to reduce differences in terms of geographical barriers, equitable access, and quality monitoring across different hospitals. Aims: We aimed to quantify changes in stroke patients' geographic access to specialized evaluation by neurologists and to intravenous acute stroke reperfusion treatments following the rapid implementation of a centralized telestroke network in the large region of Andalusia (8.5 million inhabitants). Methods: We conducted an observational study using spatial and analytical methods to examine how a centralized telestroke network influences the quality and accessibility of stroke care for a large region. Results: In the pre-implementation period, 5,005,477 (59.72% of the Andalusian population) had access to specialized stroke care in less than 30 min. After the 5-month process of implementing the telestroke network, 7,832,988 (93.5%) inhabitants had an access time of less than 30 min, bridging the gap in acute stroke care in rural hospitals. Conclusions: A centralized telestroke network may be an efficient tool to reduce the differences in stroke care access and quality monitoring across different hospitals, especially in large regions with low population density. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© European Stroke Organisation 2022.)
Databáze:	MEDLINE
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