ArticleStroke2012
Telestroke ambulances in prehospital stroke management: concept and pilot feasibility study.
Article in Stroke, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
43 citing papers in PubMed, 1 synthesis or guideline pooled it, 107 citations in OpenAlex.
- A topical review of the feasibility and reliability of ambulance-based telestroke.Frontiers in stroke · 2024Pooled it
- Feasibility of prehospital telemedicine for paediatric emergencies: a cluster-randomised pilot trial in Karachi, Pakistan.BMJ global health · 2026Trial
- Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out-of-hospital care.Journal of clinical hypertension (Greenwich, Conn.) · 2017Trial
- Feasibility and acceptability of pediatric expert teleconsultation during critical ambulance transports: a pilot randomized controlled simulation trial.Resuscitation plus · 2026Article
- Feasibility of portable telemedicine devices for ambulance-based prehospital triage: a comparative simulation study.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Video consultation in the prehospital stroke chain of care for suspected large vessel occlusion: a mixed-methods feasibility study.BMC emergency medicine · 2026Article
- Emergency medical services providers' perspectives on the use of artificial intelligence in prehospital identification of stroke- a qualitative study in Norway and Sweden.BMC emergency medicine · 2025Article
- VISIT STROKE: non-inferiority of telemedicine-based neurological consultation for post-acute stroke patients - protocol of a prospective observational controlled multi-center study.BMC health services research · 2024Observational
- Global Insights on Prehospital Stroke Care: A Comprehensive Review of Challenges and Solutions in Low- and Middle-Income Countries.Journal of clinical medicine · 2024Review
- Effect of teleconsultation on the application of thrombolytic therapy in stroke patients in the emergency department.Irish journal of medical science · 2024Article
- Contribution of the 5G Smart First-Aid Care Platform to Achieving High-Quality Prehospital Care.Journal of medical Internet research · 2023Article
- Communication Requirements in 5G-Enabled Healthcare Applications: Review and Considerations.Healthcare (Basel, Switzerland) · 2022Review
- Communication and Teamwork During Telemedicine-Enabled Stroke Care in an Ambulance.Human factors · 2022Article
- Development and Evaluation of a User-Centered Mobile Telestroke Platform.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019Article
- Telemedicine in Prehospital Acute Stroke Care.Journal of the American Heart Association · 2019Article
- Intersection-Based Link-Adaptive Beaconless Forwarding in Urban Vehicular Ad-Hoc Networks.Sensors (Basel, Switzerland) · 2019Article
- Paramedic Acute Stroke Treatment Assessment (PASTA): study protocol for a randomised controlled trial.Trials · 2019Article
- Improving Prehospital Stroke Services in Rural and Underserved Settings With Mobile Stroke Units.Frontiers in neurology · 2019Review
- Interpretation of Brain CT Scans in the Field by Critical Care Physicians in a Mobile Stroke Unit.Journal of neuroimaging : official journal of the American Society of Neuroimaging · 2018Article
- Mobile platform for treatment of stroke: A case study of tele-assistance.Health informatics journal · 2016Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposePre- and intrahospital time delays are major concerns in acute stroke care. Telemedicine-equipped ambulances may improve time management and identify patients with stroke eligible for thrombolysis by an early prehospital stroke diagnosis. The aims of this study were (1) to develop a telestroke ambulance prototype; (2) to test the reliability of stroke severity assessment; and (3) to evaluate its feasibility in the prehospital emergency setting.
methodsMobil, real-time audio-video streaming telemedicine devices were implemented into advanced life support ambulances. Feasibility of telestroke ambulances and reliability of the National Institutes of Health Stroke Scale assessment were tested using current wireless cellular communication technology (third generation) in a prehospital stroke scenario. Two stroke actors were trained in simulation of differing right and left middle cerebral artery stroke syndromes. National Institutes of Health Stroke Scale assessment was performed by a hospital-based stroke physician by telemedicine, by an emergency physician guided by telemedicine, and "a posteriori" on the basis of video documentation.
resultsIn 18 of 30 scenarios, National Institutes of Health Stroke Scale assessment could not be performed due to absence or loss of audio-video signal. In the remaining 12 completed scenarios, interrater agreement of National Institutes of Health Stroke Scale examination between ambulance and hospital and ambulance and "a posteriori" video evaluation was moderate to good with weighted κ values of 0.69 (95% CI, 0.51-0.87) and 0.79 (95% CI, 0.59-0.98), respectively.
conclusionPrehospital telestroke examination was not at an acceptable level for clinical use, at least on the basis of the used technology. Further technical development is needed before telestroke is applicable for prehospital stroke management during patient transport.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.