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[Recommendations on telestroke in Europe].

A M Alasheev1, G J Hubert2, G C Santo3

  • 1Sverdlovsk Regional Clinical Hospital #1, Ekaterinburg, Russia.

Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
|April 21, 2020
PubMed
Summary

This study outlines European Stroke Organization telestroke network recommendations. It details criteria for selecting hospitals and defines three network categories to improve rural stroke care access and evidence-based treatment.

Keywords:
networkremote areastrokestroke care systemtelemedicinetelestroke

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Area of Science:

  • Neurology
  • Telemedicine
  • Public Health

Background:

  • Many European rural areas lack stroke specialists, leading to underserved populations.
  • Telestroke (telemedicine in stroke care) is safe, enhances evidence-based therapy use, and covers remote areas.
  • This paper adapts European Stroke Organization telestroke recommendations for network setup.

Purpose of the Study:

  • To summarize European Stroke Organization Telestroke Committee recommendations.
  • To guide the establishment of effective telestroke networks across Europe.
  • To improve stroke care accessibility in underserved rural regions.

Main Methods:

  • Adapted translation of European Stroke Organization telestroke recommendations.
  • Identification of criteria for hospital selection in telestroke networks.
  • Categorization of hospitals into a hub-and-spoke network model.

Main Results:

  • Hospitals should be selected based on population density, transport, geography, and resources.
  • Three hospital categories are defined: Telemedicine Stroke Centre, telemedicine-assisted stroke Unit, and telemedicine-assisted stroke-ready hospital.
  • These categories facilitate a structured hub-and-spoke network approach.

Conclusions:

  • Implementing structured telestroke networks can overcome geographical and specialist limitations.
  • Standardized criteria and hospital categories are crucial for successful telestroke network implementation.
  • These recommendations aim to enhance stroke care delivery in underserved European areas.