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Related Experiment Video

Updated: May 25, 2026

Prehospital Thrombolysis: A Manual from Berlin
05:52

Prehospital Thrombolysis: A Manual from Berlin

Published on: November 26, 2013

Making the call: is telestroke cost effective?

P Fearon1, T J Quinn

  • 1Institute of Cardiovascular and Medical Sciences, School of Medicine, University of Glasgow, Walton Building, Glasgow Royal Infirmary, Glasgow, G4 0SF, UK. patricia.fearon@glasgow.ac.uk

Expert Review of Pharmacoeconomics & Outcomes Research
|January 28, 2012
PubMed
Summary
This summary is machine-generated.

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Telecommunications can increase access to tissue plasminogen activator (tPA) for acute ischemic stroke patients. This strategy connects stroke centers with peripheral hospitals, improving thrombolysis delivery and patient outcomes.

Area of Science:

  • Neurology
  • Health Services Research
  • Telemedicine

Background:

  • Intravenous tissue plasminogen activator (tPA) is clinically effective for acute ischemic stroke, reducing long-term disability and care costs.
  • Despite proven efficacy, a small percentage of eligible stroke patients receive tPA due to barriers like distance and lack of local expertise.
  • There is a critical need to enhance access to evidence-based acute stroke therapies.

Discussion:

  • Nelson and colleagues propose a telecommunications model linking expert stroke centers ('hubs') with peripheral hospitals ('spokes') via video liaison.
  • This 'hub-and-spoke' model aims to overcome geographical and infrastructural barriers to tPA delivery.
  • Economic modeling indicates potential cost-effectiveness, though long-term analyses of acute interventions have inherent limitations.

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Last Updated: May 25, 2026

Prehospital Thrombolysis: A Manual from Berlin
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Key Insights:

  • Audiovisual technologies can facilitate increased delivery of thrombolysis for acute ischemic stroke.
  • The proposed telecommunications strategy shows promise in expanding access to time-sensitive stroke treatments.
  • Bridging the gap between specialized stroke centers and community hospitals is crucial for improving patient care.

Outlook:

  • Further research and implementation of telemedicine strategies are warranted to broaden access to tPA.
  • This approach could serve as a scalable solution for improving stroke care delivery in underserved areas.
  • Continued evaluation of the long-term clinical and economic impact of tele-stroke interventions is essential.