JAMA Neurology ( IF 29.0 ) Pub Date : 2020-08-01 , DOI: 10.1001/jamaneurol.2020.1274 Jessica V Richard 1 , Andrew D Wilcock 2 , Lee H Schwamm 3 , Lori Uscher-Pines 4 , Kori S Zachrison 3 , Arham Siddiqui 5 , Ateev Mehrotra 1, 6
Reperfusion via intravenous alteplase or mechanical thrombectomy reduces the damage of an acute ischemic stroke, but these treatments must be administered within a narrow time frame after onset of symptoms and not all patients can safely receive reperfusion. Larger hospitals typically have on-call stroke teams that quickly assess patients with suspected stroke; patients receiving care at hospitals without this expertise may be less likely to receive appropriate treatment.1 Telestroke has emerged as a potential solution by which remote stroke experts guide local emergency physicians through the neurological examination, review of imaging, and management decisions.1
中文翻译:
美国医院的中风能力评估。
通过静脉内阿替普酶或机械血栓切除术进行再灌注可减少急性缺血性中风的损害,但这些治疗必须在症状发作后的较短时间内进行,并非所有患者都能安全地接受再灌注。大型医院通常设有待命中风团队,以快速评估可疑中风患者。在没有这种专业知识的情况下在医院接受护理的患者,接受适当治疗的可能性较小。1远程中风已经成为一种潜在的解决方案,远程中风专家可以通过神经学检查,影像学检查和管理决策来指导本地急诊医师。1个