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@article{1b66c2b19540473a9daeb2fa882c605e,
title = "Prehospital stroke study at the Universitair Ziekenhuis Brussel: preliminary data on 24/7 in-ambulance telemedicine for emergency stroke care",
abstract = "In-ambulance telemedicine for stroke (telestroke) is a promising concept.Real-time bidirectional audiovisual communication between a patient ina moving ambulance and a remote stroke expert can facilitate specializedcare at a very early stage. We have developed several prototypes forin-ambulance telemedicine and we have created a telemedicine platformencompassing standardized assessment of stroke severity using the UnassistedTeleStroke Scale (UTSS), clinical decision support software forstroke physicians and reporting functionality for the in-hospital teamawaiting the patient. Feasibility studies using this system in healthy volunteersand in patients during paramedic emergency missions haveshown that this approach is safe, feasible and well-accepted by allstakeholders.We have completed a pilot study on 24/7 in-ambulance telestroke support,confirming the safety, feasibility and reliability of this concept.We presenta video fragment of an in-ambulance teleconsultation from this trial.Already during patient evacuation to the ambulance, vital data wasexchanged between the general practitioner present at the location and theremote stroke physician. During emergency transportation to the hospital,the teleconsultant examined the patient, alarmed the in-hospital teamand communicated critical information to the in-hospital team (patientidentification and date of birth, vital parameters, glycaemia, time ofsymptom onset, stroke severity based on the UTSS, Glasgow Coma Scalescore, medical history, concomitant medication, suspected diagnosis,checklist for treatment with intravenous thrombolysis, family contactinformation, premorbid modified Rankin Scale score).A single-center randomized clinical trial evaluating the efficacy, safety,feasibility, reliability, and cost-effectiveness of in-ambulance telestroke iscurrently ongoing.",
keywords = "stroke, UTSS",
author = "Raf Brouns and {Valenzuela Espinoza}, Alexis and {De Smedt}, Ann and Maarten Moens and Ives Hubloue and {De Keyser}, Jacques",
year = "2015",
language = "English",
volume = "10",
pages = "422",
journal = "International Journal of Stroke",
issn = "1747-4930",
publisher = "Wiley-Blackwell",
number = "S2",

}

RIS

TY - JOUR

T1 - Prehospital stroke study at the Universitair Ziekenhuis Brussel: preliminary data on 24/7 in-ambulance telemedicine for emergency stroke care

AU - Brouns, Raf

AU - Valenzuela Espinoza, Alexis

AU - De Smedt, Ann

AU - Moens, Maarten

AU - Hubloue, Ives

AU - De Keyser, Jacques

PY - 2015

Y1 - 2015

N2 - In-ambulance telemedicine for stroke (telestroke) is a promising concept.Real-time bidirectional audiovisual communication between a patient ina moving ambulance and a remote stroke expert can facilitate specializedcare at a very early stage. We have developed several prototypes forin-ambulance telemedicine and we have created a telemedicine platformencompassing standardized assessment of stroke severity using the UnassistedTeleStroke Scale (UTSS), clinical decision support software forstroke physicians and reporting functionality for the in-hospital teamawaiting the patient. Feasibility studies using this system in healthy volunteersand in patients during paramedic emergency missions haveshown that this approach is safe, feasible and well-accepted by allstakeholders.We have completed a pilot study on 24/7 in-ambulance telestroke support,confirming the safety, feasibility and reliability of this concept.We presenta video fragment of an in-ambulance teleconsultation from this trial.Already during patient evacuation to the ambulance, vital data wasexchanged between the general practitioner present at the location and theremote stroke physician. During emergency transportation to the hospital,the teleconsultant examined the patient, alarmed the in-hospital teamand communicated critical information to the in-hospital team (patientidentification and date of birth, vital parameters, glycaemia, time ofsymptom onset, stroke severity based on the UTSS, Glasgow Coma Scalescore, medical history, concomitant medication, suspected diagnosis,checklist for treatment with intravenous thrombolysis, family contactinformation, premorbid modified Rankin Scale score).A single-center randomized clinical trial evaluating the efficacy, safety,feasibility, reliability, and cost-effectiveness of in-ambulance telestroke iscurrently ongoing.

AB - In-ambulance telemedicine for stroke (telestroke) is a promising concept.Real-time bidirectional audiovisual communication between a patient ina moving ambulance and a remote stroke expert can facilitate specializedcare at a very early stage. We have developed several prototypes forin-ambulance telemedicine and we have created a telemedicine platformencompassing standardized assessment of stroke severity using the UnassistedTeleStroke Scale (UTSS), clinical decision support software forstroke physicians and reporting functionality for the in-hospital teamawaiting the patient. Feasibility studies using this system in healthy volunteersand in patients during paramedic emergency missions haveshown that this approach is safe, feasible and well-accepted by allstakeholders.We have completed a pilot study on 24/7 in-ambulance telestroke support,confirming the safety, feasibility and reliability of this concept.We presenta video fragment of an in-ambulance teleconsultation from this trial.Already during patient evacuation to the ambulance, vital data wasexchanged between the general practitioner present at the location and theremote stroke physician. During emergency transportation to the hospital,the teleconsultant examined the patient, alarmed the in-hospital teamand communicated critical information to the in-hospital team (patientidentification and date of birth, vital parameters, glycaemia, time ofsymptom onset, stroke severity based on the UTSS, Glasgow Coma Scalescore, medical history, concomitant medication, suspected diagnosis,checklist for treatment with intravenous thrombolysis, family contactinformation, premorbid modified Rankin Scale score).A single-center randomized clinical trial evaluating the efficacy, safety,feasibility, reliability, and cost-effectiveness of in-ambulance telestroke iscurrently ongoing.

KW - stroke

KW - UTSS

M3 - Meeting abstract (Journal)

VL - 10

SP - 422

JO - International Journal of Stroke

JF - International Journal of Stroke

SN - 1747-4930

IS - S2

ER -

ID: 14206261