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Recent advances in TeleStroke: a systematic review on applications in prehospital management and Stroke Unit treatment or TeleStroke networking in developing countries
TeleStroke has become an increasing means to overcome shortage of stroke expertise in underserved areas. This rapidly growing field has triggered a large amount of publications in recent years. We aimed to analyze recent advances in the field of telemedicine for acute stroke, with main focus on prehospital management, Stroke Unit treatment and network implementations in developing countries. Out of 260 articles, 25 were selected for this systematic review: 9 regarding prehospital management, 14 regarding Stroke Unit treatment and 2 describing a network in developing countries. Prehospital management showed that stroke reco...
Source: International Journal of Stroke - November 10, 2014 Category: Neurology Authors: Gordian J. Hubert, Peter Müller‐Barna, Heinrich J. Audebert Tags: Review Source Type: research

Establishment of an effective acute stroke telemedicine program for Australia: protocol for the Victorian Stroke Telemedicine project
RationaleUrgent treatment of acute stroke in rural Australia is problematic partly because of limited access to medical specialists. Utilization of telemedicine could improve delivery of acute stroke treatments in rural communities. AimThe study aims to demonstrate enhanced clinical decision making for use of thrombolysis within 4·5 h of ischemic stroke symptom onset in a rural setting using a telemedicine specialist support model. DesignA formative program evaluation research design was used. The Victorian Stroke Telemedicine program was developed and will be evaluated over five stages to ensure successful implementati...
Source: International Journal of Stroke - October 22, 2013 Category: Neurology Authors: Dominique A. Cadilhac, Natasha Moloczij, Sonia Denisenko, Helen Dewey, Peter Disler, Bruce Winzar, Ian Mosley, Geoffrey A. Donnan, Christopher Bladin Tags: Protocols Source Type: research

The CLOQS trial protocol: a cluster‐randomized trial evaluating a simple, low‐cost intervention to reduce treatment times in acute stroke
The objective of the Countdown Lights to Optimize Quality in acute Stroke (CLOQS) trial is to determine whether a simple, low‐cost organizational behavior intervention, a large, red stopwatch timer attached to the stretcher upon arrival, will decrease door‐to‐scanner and door‐to‐needle treatment times for tissue plasminogen activator‐treated patients. DesignA multicenter, time‐clustered randomized control trial. The stopwatch timers will be used in Emergency Departments for all acute stroke patients across the University of Toronto Stroke Program. The order of intervention (ON) and control (OFF) blocks will b...
Source: International Journal of Stroke - September 5, 2013 Category: Neurology Authors: Richard H. Swartz, Michelle N. Sicard, Frank L. Silver, Gustavo Saposnik, David J. Gladstone, Jennifer Breaton, Sharon Ramagnano, Jacques Lee, Richard I. Aviv, Jiming Fang, Merrick F. Zwarenstein, Tags: Protocols Source Type: research