Evidence map›Paper›PMID 24535938›Full record

ArticleAnnals of clinical and translational neurology2014

Impact of Telemedicine on Access to Acute Stroke Care in the State of Texas.

Tzu-Ching Wu, Michael J Lyerly, Karen C Albright, Eric Ward, Amanda Hassler, Jessica Messier, Catherine Wolff, Charles C Brannas, Sean I Savitz, Brendan G Carr

Open access · hybridAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Sex Disparities in Access to Acute Stroke Care: Can Telemedicine Mitigate this Effect?Journal of health disparities research and practice · 2016
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Tzu-Ching WuStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030.
Michael J LyerlyDepartment of Neurology, School of Medicine, University of Alabama at Birmingham, Birmingham, AL 35294.
Karen C AlbrightDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294 ; Health Services and Outcomes Research Center for Outcome and Effectiveness Research and Education (COERE),University of Alabama at Birmingham, Birmingham, AL 35294 ; Center of Excellence in Comparative Effectiveness Research for Eliminating Disparities (CERED) Minority Health & Health Disparities Research Center (MHRC),University of Alabama at Birmingham, Birmingham, AL 35294.
Eric WardStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030.
Amanda HasslerStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030.
Jessica MessierStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030.
Catherine WolffDepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104.
Charles C BrannasDepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104.
Sean I SavitzStroke Program, Department of Neurology, University of Texas-Houston Memorial Hermann Medical Center, Houston, TX 77030.
Brendan G CarrDepartment of Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA 19104 ; Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104.
Memorial Hermann · USUniversity of Pennsylvania · USThe University of Texas Health Science Center at Houston · USUniversity of Alabama at Birmingham · US

Funding

RESEARCH TRAINING COREP60MD000502 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI FOUAD, MONA N. · 2003 to 2016
$16.2M
UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
Optimization modeling and comparative effectiveness of regionalized stroke careR01HS018362 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI BRANAS, CHARLES C. · 2010 to 2013
$1.8M
AHRQ HHS R01 HS018362AHRQ HHS T32 HS013852NIMHD NIH HHS P60 MD000502PHS HHS HS013852-07
6 · The paper itself

Abstract

backgroundTo examine the impact of telemedicine on access to acute stroke care and expertise in the state of Texas.

methodsTexas hospitals were surveyed using a standard questionnaire and categorized as: (1) stand-alone Primary Stroke Centers not using telemedicine for acute stroke care, (2) Primary Stroke Centers using telemedicine for acute stroke care, (3) non-Primary Stroke Center hospitals using telemedicine for acute stroke care, or (4) non-Primary Stroke Center hospitals not using telemedicine for acute stroke care. Population data were obtained from the US Census Bureau and the Neilson Claritas Demographic Estimation Program. Access within 60 minutes to a designated facility was calculated at the block group level.

resultsOver 75% of Texans had 60-minute access to a stand-alone Primary Stroke Center. Including Primary Stroke Centers using telemedicine increased access by 6.5%. Adding non- Primary Stroke Centers that use telemedicine for acute stroke care provided 60-minute access for an additional 2% of Texans, leaving 16% of Texans without 60-minute access to acute stroke care. Approximately 62% of Texans had 60-minute access to more than one type of facility that provided acute stroke care.

conclusionThe use of telemedicine in the state of Texas brought 60-minute access to >2 million Texans who otherwise would not have had access to acute stroke expertise. Our findings demonstrate that using telemedicine for acute stroke has the ability to provide neurologically underserved areas access to acute stroke care.

Indexed as

access to careischemic strokeTelemedicine

Identifiers

PMID24535938
PMCPMC3925075
OpenAlexW2022837959

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.