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Acute telestroke in France: A systematic review
R Ohannessian1, A-M Schott2, C Colin2
1CIC-1431 Inserm département de Neurologie, EA 481 laboratoire de neurosciences intégratives et cliniques université de Franche-Comté, UBFC, CHRU de Besançon, Besançon, France; Télémédecine 360, TLM360, Paris, France.
Revue Neurologique
|March 10, 2020
Summary
Acute telestroke implementation in France shows positive clinical and public health benefits. Further evaluation is needed to fully support this telemedicine practice for stroke care.
Area of Science:
- Neurology
- Public Health
- Health Services Research
Background:
- Acute telestroke, utilizing telemedicine for stroke care, is a safe and effective practice.
- France has actively promoted acute telestroke since 2011, with widespread regional implementation by 2018.
Purpose of the Study:
- To describe the implementation of acute telestroke services across France.
- To evaluate the impact of telemedicine on acute stroke care within French regions.
Main Methods:
- A systematic review of studies published in English and French from 2000 to 2018.
- Inclusion criteria focused on studies evaluating regional acute telestroke activity in France.
Main Results:
- 24 studies were included, comprising published articles and abstracts.
- Telestroke networks primarily used a 'drip-and-ship' model with hub-and-spoke organization.
- Significant increases in territorial thrombolysis rates were observed in specific regions.
Conclusions:
- Acute telestroke implementation in France has yielded positive clinical and public health outcomes.
- Despite positive impacts, the evaluation of acute telestroke remains limited and requires further support.
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