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Telestroke in resource-poor developing country model.

Sudhir Sharma1, M V Padma2, Amit Bhardwaj3

  • 1Department of Neurology, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.

Neurology India
|September 15, 2016
PubMed
Summary
This summary is machine-generated.

A smartphone-based telestroke model improved acute ischemic stroke treatment in India. This cost-effective approach offers a portable solution with fewer technical issues for underserved areas.

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Area of Science:

  • Neurology
  • Telemedicine
  • Public Health

Background:

  • Acute ischemic stroke requires timely treatment, but access to facilities like thrombolysis is uneven.
  • Telemedicine offers a solution to bridge this gap in healthcare accessibility.
  • A telestroke model was implemented in Himachal Pradesh, India, to address these challenges.

Purpose of the Study:

  • To implement and evaluate a telemedicine-based system for acute ischemic stroke treatment.
  • To provide tissue plasminogen activator (thrombolysis) in district hospitals via telemedicine.
  • To improve access to stroke care in a resource-limited, geographically challenging region.

Main Methods:

  • A smartphone-based hub-and-spoke telestroke model was utilized.
  • Two tertiary care hospitals served as hubs, connected to 17 district hospitals (spokes).
  • Medical officers received stroke treatment training, and neurologists provided remote consultations.

Main Results:

  • Twenty-six patients received thrombolysis between June 2014 and May 2015.
  • Treatment occurred at nine district hospitals lacking onsite neurologists.
  • Only two patients experienced non-fatal intracranial bleeding post-thrombolysis.

Conclusions:

  • Smartphone-based telestroke services are a cost-effective and portable alternative to video-conferencing.
  • This model demonstrates a viable approach for delivering timely acute ischemic stroke treatment in underserved regions.
  • This represents the first reported telestroke model of its kind in India.