Evidence map›Paper›PMID 32192438›Full record

ArticleBMC neurology2020

Two years' experience of implementing a comprehensive telemedical stroke network comprising in mainly rural region: the Transregional Network for Stroke Intervention with Telemedicine (TRANSIT-Stroke).

Katharina M A Gabriel, Steffi Jírů-Hillmann, Peter Kraft, Udo Selig, Viktoria Rücker, Johannes Mühler, Klaus Dötter, Matthias Keidel, Hassan Soda, Alexandra Rascher and 12 more

Abstract read
In one paragraph

Article in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Global stroke statistics 2023: Availability of reperfusion services around the world.International journal of stroke : official journal of the International Stroke Society · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. No lockdown for neurological diseases during COVID19 pandemic infection.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
    Article
  11. 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

22 authors.

Katharina M A GabrielInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Josef-Schneider-Straße 2/D7, 97080, Würzburg, Germany. katharina.gabriel@uni-wuerzburg.de.
Steffi Jírů-HillmannInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Josef-Schneider-Straße 2/D7, 97080, Würzburg, Germany.
Peter KraftNeurology, Clinical Centre Main-Spessart, Lohr, Germany.
Udo SeligInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Josef-Schneider-Straße 2/D7, 97080, Würzburg, Germany.
Viktoria RückerInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Josef-Schneider-Straße 2/D7, 97080, Würzburg, Germany.
Johannes MühlerNeurology, Leopoldina Hospital Schweinfurt, Schweinfurt, Germany.
Klaus DötterNeurology, Leopoldina Hospital Schweinfurt, Schweinfurt, Germany.
Matthias KeidelNeurology, Clinical Centre Rhön, Bad Neustadt/Saale, Germany.
Hassan SodaNeurology, Clinical Centre Rhön, Bad Neustadt/Saale, Germany.
Alexandra RascherNeurology, Clinical Centre Rhön, Bad Neustadt/Saale, Germany.
Rolf SchneiderNeurology, Clinical Centre Aschaffenburg-Alzenau, Aschaffenburg, Germany.
Mathias PfauNeurology, Clinical Centre Würzburg Mitte, Standort Juliusspital, Würzburg, Germany.
Roy HoffmannCardiology, Clinical Centre Helios Frankenwald, Kronach, Germany.
Joachim StenzelInternal Medicine, Clinical Centre Main, Ochsenfurt, Germany.
Mohamed BenghebridNeurology, Clinical Centre Helios Erlenbach, Erlenbach, Germany.
Tobias GoebelInternal Medicine, Clinical Centre Capio Franz von Prümmer, Bad Brückenau, Germany.
Sebastian DoerckNeurology, University Hospital Würzburg, Würzburg, Germany.
Daniela KramerNeurology, University Hospital Würzburg, Würzburg, Germany.
Karl Georg HaeuslerNeurology, University Hospital Würzburg, Würzburg, Germany.
Jens VolkmannNeurology, University Hospital Würzburg, Würzburg, Germany.
Peter U HeuschmannInstitute of Clinical Epidemiology and Biometry, University of Würzburg, Josef-Schneider-Straße 2/D7, 97080, Würzburg, Germany.
Felix FluriNeurology, University Hospital Würzburg, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine improves the quality of acute stroke care in rural regions with limited access to specialized stroke care. We report the first 2 years' experience of implementing a comprehensive telemedical stroke network comprising all levels of stroke care in a defined region.

methodsThe TRANSIT-Stroke network covers a mainly rural region in north-western Bavaria (Germany). All hospitals providing acute stroke care in this region participate in TRANSIT-Stroke, including four hospitals with a supra-regional certified stroke unit (SU) care (level III), three of those providing teleconsultation to two hospitals with a regional certified SU (level II) and five hospitals without specialized SU care (level I). For a two-year-period (01/2015 to 12/2016), data of eight of these hospitals were available; 13 evidence-based quality indicators (QIs) related to processes during hospitalisation were evaluated quarterly and compared according to predefined target values between level-I- and level-II/III-hospitals.

resultsOverall, 7881 patients were included (mean age 74.6 years ±12.8; 48.4% female). In level-II/III-hospitals adherence of all QIs to predefined targets was high ab initio. In level-I-hospitals, three patterns of QI-development were observed: a) high adherence ab initio (31%), mainly in secondary stroke prevention; b) improvement over time (44%), predominantly related to stroke specific diagnosis and in-hospital organization; c) no clear time trends (25%). Overall, 10 out of 13 QIs reached predefined target values of quality of care at the end of the observation period.

conclusionThe implementation of the comprehensive TRANSIT-Stroke network resulted in an improvement of quality of care in level-I-hospitals.

Indexed as

AgedFemaleGermanyHumansMaleMiddle AgedRural PopulationStrokeTelemedicine

Identifiers

PMID32192438
PMCPMC7081707

What OpenQuestion holds

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Registered trials

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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.