Table 2.
Reference [No.] | Morey et al. 2020 [48] | Hubert et al. 2022 [53] | |||
---|---|---|---|---|---|
Telestroke setting | Without teleneurology | With teleneurology | |||
Number of patients | 198 | 157 | |||
Vascular screening criteria | Anterior and vertebrobasilar circulation, LVO | Anterior and vertebrobasilar circulation, LVO | |||
Center type | CSC/MS | PSC/DS | PSC/MIST | Spoke/DS | Spoke/FIT |
Proportion of patients [%] | 10.1 | 57.6 | 32.3 | 45.9 | 54.1 |
Age [years] | 66.8 (± 12.3)** | 68.3 (± 14.9)** | 69.0 (± 12.8)** | 75 (66–79)* | 77 (67–82)* |
NIHSS at admission | 16.6 (± 7.5)** | 17.5 (± 6.1)** | 15.4 (± 6.1)** | 13 (8–18)* | 15 (10–18)* |
IVT [%] | 45.0 | 45.6 | 45.3 | 68 | 69 |
EVT [%] | 100 | 100 | 100 | 67 | 83 |
Initial door to groin [min] | 114.3 (± 49.5)** | 231.6 (± 102.1)** |
144.4 (± 57.7)**; p < 0.05 versus DS |
212 (185–252)* | 112 (96–132)* |
First imaging to groin [min] | 89.8 (± 34.7)** | 203.5 (± 91.9)** |
126.3 (± 54.4)** p < 0.05 versus DS |
194 (167–226)* | 101 (86–115)* |
Favorable outcome [mRS 0–2) [%] | (3 months) 40.0 | (3 months) 38.9 | (3 months) 52.8 | (3 months) 39 | (3 months) 44 |
ICH [%] | No data | No data | No data | (Symptomatic) 16 | (Symptomatic) 7 |
Mortality [%] | No data | No data | No data | (3 months) 19 | (3 months) 25 |
It should be noted that further studies on driving interventionalist models exist, but no detailed description regarding the usage of teleneurology has been provided. The very thorough designed study by Morey et al. was included here as an illustrative example
AIS Acute ischemic stroke; CSC Comprehensive stroke center; DS Drip-and-ship model; EMS Contact with emergency medical service; EVT Endovascular treatment; FIT Flying interventionalists model; ICH Intracerebral hemorrhage; IVT Intravenous thrombolysis; LVO Large vessel occlusion; MIST Mobile interventional stroke team model; mRS Modified rankin scale; MS Mothership model; NIHSS National Institutes of Health Stroke Scale; Spoke telemedical site with stroke care
*Median (IQR); **mean (SD); bold statistically significant (p < 0.05)