Comparison of Stroke Outcomes of Hub and Spoke Hospital Treated Patients in Mayo Clinic Telestroke Program

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Bart M DemaerschalkYu-Hui H Chang

Abstract

To examine telemedicine as it applies to acute ischemic stroke care at a spoke hospital and the effect on patient outcomes, including the timeliness of response, quality of care, safety, morbidity, and mortality when compared to standard hub hospital stroke center care. Retrospective review of prospectively entered quality/performance stroke/telestroke patient catalog data were completed for 1000 adult patients who presented with an acute ischemic stroke to the Mayo Clinic Hospitals (500 patients) or to one of thirteen Mayo Clinic affiliated telestroke spoke hospitals in the regions (500 patients). The primary outcome of interest was the percentage of accurate decision making for eligibility of IV alteplase administration assessed by blinded adjudication and the secondary outcomes pertained to complications, discharge parameters, and standard quality metrics. There was no difference in the spoke hospital versus hub hospital groups in identifying and making the correct decision regarding which patients were eligible for IV alteplase administration (96% [95% confidence interval (CI): 94%-97%] versus 97% [95% CI: 95%-98%]; P = 0.32). There was no difference among the groups in proportion receiving IV alteplase, sustaining symptoma...Continue Reading

Citations

Mar 5, 2020·Circulation. Cardiovascular Quality and Outcomes·Richa SharmaLee H Schwamm
Apr 8, 2020·The Medical Journal of Australia·Chris F BladinDominique A Cadilhac
Feb 6, 2020·Journal of Health Organization and Management·Rocco Salvatore CalabròPlacido Bramanti
Nov 24, 2020·Stroke; a Journal of Cerebral Circulation·Michael LyerlyLinda S Williams
Nov 24, 2020·Frontiers in Public Health·Sonu BhaskarMaciej Banach
Feb 5, 2021·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Hena WaseemNathaniel Robbins
Jul 11, 2021·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Emily M HaydenUNKNOWN Society for Academic Emergency Medicine 2020 Consensus Conference

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