ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2016
Mobile Telestroke During Ambulance Transport Is Feasible in a Rural EMS Setting: The iTREAT Study.
Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07027813 (Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies in Low Resource Settings), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Feasibility and Efficacy of Ambulance-Based m-Health for Pediatric Emergencies in Low Resource Settings (FEAMER) Trial
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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
- Review
- Evaluating the Impact of a System-Wide Prehospital Teleconsultation on Rural Stroke Transportation Efficiency.Stroke (Hoboken, N.J.) · 2026Article
- Status of emergency medical service use for acute ischemic stroke in China.Scientific reports · 2026Article
- Acceptability of ambulance-based telemedicine (ABT) for paediatric emergencies in Karachi, Pakistan.BMJ global health · 2026Article
- Patients Residing in Rural Areas Transferred for Mechanical Thrombectomy Undergo Decreased Catheter-Based Treatment.Stroke (Hoboken, N.J.) · 2025Article
- Prehospital Stroke Care Part 2: On-Scene Evaluation and Management by Emergency Medical Services Practitioners.Stroke · 2023Review
- Prehospital Stroke Care Part 1: Emergency Medical Services and the Stroke Systems of Care.Stroke · 2023Review
- Introduction of Telemedicine in a Prehospital Emergency Care Setting: A Pilot Study.International journal of telemedicine and applications · 2023Article
- Communication Requirements in 5G-Enabled Healthcare Applications: Review and Considerations.Healthcare (Basel, Switzerland) · 2022Review
- Health technology assessment of telemedicine applications in Northern borders of India.Medical journal, Armed Forces India · 2021Article
- Telestroke Across the Continuum of Care: Lessons from the COVID-19 Pandemic.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2021Article
- Use of a Smartphone Platform to Help With Emergency Management of Acute Ischemic Stroke: Observational Study.JMIR mHealth and uHealth · 2021Observational
- Utstein recommendation for emergency stroke care.International journal of stroke : official journal of the International Stroke Society · 2020Article
- Development and Evaluation of a User-Centered Mobile Telestroke Platform.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2019Article
- 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
- Improving Regional Stroke Systems of Care.Current atherosclerosis reports · 2017Review
- Telestroke.Current cardiology reports · 2017Review
- A low-cost, tablet-based option for prehospital neurologic assessment: The iTREAT Study.Neurology · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
backgroundThe use of telemedicine in the diagnosis and treatment of acute stroke, or telestroke, is a well-accepted method of practice improving geographic disparities in timely access to neurological expertise. We propose that mobile telestroke assessment during ambulance transport is feasible using low-cost, widely available technology. MATERIALS AND
methodsWe designed a platform including a tablet-based end point, high-speed modem with commercial wireless access, external antennae, and portable mounting apparatus. Mobile connectivity testing was performed along six primary ambulance routes in a rural network. Audiovisual (AV) quality was assessed simultaneously by both an in-vehicle and an in-hospital rater using a standardized 6-point rating scale (≥4 indicating feasibility). We sought to achieve 9 min of continuous AV connectivity presumed sufficient to perform mobile telestroke assessments.
resultsThirty test runs were completed: 93% achieved a minimum of 9 min of continuous video transmission with a mean mobile connectivity time of 18 min. Mean video and audio quality ratings were 4.51 (4.54 vehicle; 4.48 hospital) and 5.00 (5.13 in-vehicle; 4.87 hospital), respectively. Total initial cost of the system was $1,650 per ambulance.
conclusionsIn this small, single-centered study we maintained high-quality continuous video transmission along primary ambulance corridors using a low-cost mobile telemedicine platform. The system is designed to be portable and adaptable, with generalizability for rapid assessment of emergency conditions in which direct observational exam may improve prehospital diagnosis and treatment. Thus mobile telestroke assessment is feasible using low-cost components and commercial wireless connectivity. More research is needed to demonstrate clinical reliability and efficacy in a live-patient setting.
Indexed as
Identifiers
What OpenQuestion holds
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.