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The First Eight Years of the Manitoba TeleStroke Program: An Observational Study.

Susan Alcock1, Marco Ayroso1, Yan Sin Leung1

  • 1Department of Radiology, Rady Faculty of Health Sciences, University of Manitobahttps://ror.org/02gfys938, Winnipeg, MB, Canada.

The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques
|October 24, 2025
PubMed
Summary

TeleStroke improves access to acute ischemic stroke care in rural areas. The Manitoba TeleStroke Program demonstrated that intravenous thrombolysis is safe and effective for acute ischemic stroke patients.

Keywords:
quality of carestroketissue plasminogen activator

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Area of Science:

  • Neurology
  • Telemedicine
  • Public Health

Background:

  • Rural populations face challenges accessing timely hyper-acute stroke care.
  • TeleStroke initiatives can enhance access to time-sensitive reperfusion therapies.
  • Evaluating the effectiveness of TeleStroke in facilitating reperfusion therapy for acute ischemic stroke (AIS) is crucial.

Purpose of the Study:

  • To assess the experience and outcomes of the Manitoba TeleStroke Program.
  • To determine if TeleStroke facilitates reperfusion therapy in AIS patients.
  • To identify areas for improvement in TeleStroke service delivery.

Main Methods:

  • Retrospective analysis of consecutive patients with suspected AIS within 4.5 hours of onset (November 2014 - December 2022).
  • Data collected included demographics, process metrics, and outcome measures.
  • Primary outcome: safety and efficacy measured by 90-day modified Rankin score (mRs).

Main Results:

  • Out of 1,748 TeleStroke patients, 696 had AIS, with 265 receiving intravenous thrombolysis.
  • Favorable 90-day outcome (mRs≤2) was observed in 44.2% of thrombolysis recipients.
  • Median door-to-needle time was 55 minutes, significantly faster for patients receiving thrombolysis.

Conclusions:

  • Intravenous thrombolysis for AIS is effective and safe within the Manitoba TeleStroke Program.
  • The study provides valuable insights for optimizing TeleStroke services in Manitoba and other regions.
  • Continued development of TeleStroke programs is essential for improving stroke care in underserved areas.