Telemedicine networks for acute stroke: An analysis of global coverage, gaps, and opportunities

Tunkl, Christine; Agarwal, Ayush; Ramage, Emily; Saleh Velez, Faddi; Roushdy, Tamer; Ullberg, Teresa; Li, Linxin; Carbonera, Leonardo A.; Yusof Khan, Abdul Hanif Khan; Ciopleias, Bogdan; Kang Law, Zhe; Katsanos, Aristeidis H.; Heldner, Mirjam R.; Khan, Maria; Matuja, Sarah; Alet, Matias Javier; Lagos-Servellón, Javier; Minhas, Jatinder S.; Zuurbier, Susanna M.; Mosconi, Maria Giulia

dc.contributor.author	Tunkl, Christine
dc.contributor.author	Agarwal, Ayush
dc.contributor.author	Ramage, Emily
dc.contributor.author	Saleh Velez, Faddi
dc.contributor.author	Roushdy, Tamer
dc.contributor.author	Ullberg, Teresa
dc.contributor.author	Li, Linxin
dc.contributor.author	Carbonera, Leonardo A.
dc.contributor.author	Yusof Khan, Abdul Hanif Khan
dc.contributor.author	Ciopleias, Bogdan
dc.contributor.author	Kang Law, Zhe
dc.contributor.author	Katsanos, Aristeidis H.
dc.contributor.author	Heldner, Mirjam R.
dc.contributor.author	Khan, Maria
dc.contributor.author	Matuja, Sarah
dc.contributor.author	Alet, Matias Javier
dc.contributor.author	Lagos-Servellón, Javier
dc.contributor.author	Minhas, Jatinder S.
dc.contributor.author	Zuurbier, Susanna M.
dc.contributor.author	Mosconi, Maria Giulia
dc.date.accessioned	2024-12-10T15:26:32Z
dc.date.available	2024-12-10T15:26:32Z
dc.date.issued	2024-11-15
dc.identifier.citation	Tunkl C, Agarwal A, Ramage E, Velez FS, Roushdy T, Ullberg T, Li L, Carbonera LA, Yusof Khan AHK, Ciopleias B, Law ZK, Katsanos AH, Heldner MR, Khan M, Matuja S, Alet MJ, Lagos-Servellón J, Minhas JS, Zuurbier SM, Mosconi MG, Lotlikar R, Elkady A, Gerner ST, Shreyan S, Krauss A, Gumbinger C, Srivastava P, Kiper P, Ohannessian R, Berberich A, Sampaio Silva G, Ranta A. Telemedicine networks for acute stroke: An analysis of global coverage, gaps, and opportunities. Int J Stroke. 2024 Nov 15:17474930241298450. doi: 10.1177/17474930241298450. Epub ahead of print.	es_ES
dc.identifier.uri	https://doi.org/10.1177/17474930241298450
dc.identifier.uri	https://repositorio.fleni.org.ar/xmlui/handle/123456789/1298
dc.description.sponsorship	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.	es_ES
dc.language.iso	eng	es_ES
dc.publisher	SAGE Publications	es_ES
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	Stroke	es_ES
dc.subject	Accidente Cerebrovascular	es_ES
dc.subject	Telemedicina	es_ES
dc.subject	Telemedicine	es_ES
dc.subject	Enfermedades Vasculares
dc.subject	Vascular Diseases
dc.title	Telemedicine networks for acute stroke: An analysis of global coverage, gaps, and opportunities	es_ES
dc.type	info:eu-repo/semantics/article	es_ES
dc.type	info:eu-repo/semantics/publishedVersion
dc.description.fil	Fil: Alet, Matías Javier. Fleni. Centro Integral de Neurología Vascular; Argentina.
dc.relation.ispartofPAGINATION	17474930241298450
dc.relation.ispartofCOUNTRY	Estados Unidos
dc.relation.ispartofCITY	Thousand Oaks
dc.relation.ispartofTITLE	International journal of stroke : official journal of the International Stroke Society.
dc.relation.ispartofISSN	1747-4949
dc.type.snrd	info:ar-repo/semantics/artículo	es_ES