SynthesisBrain and behavior2020
Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta-analysis.
Synthesis in Brain and behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.
What it found
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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
25 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cost-effectiveness of improvement strategies for reperfusion treatments in acute ischemic stroke: a systematic review.BMC health services research · 2023Pooled it
- Telestroke strategies to enhance acute stroke management in rural settings: A systematic review and meta-analysis.Brain and behavior · 2020Pooled it
- Review
- The future of stroke care: how telestroke is bridging the gap in stroke care.Journal of thrombosis and thrombolysis · 2025Article
- Barriers and facilitators to accessing stroke care services in Tanzania: an explorative qualitative study among stroke survivors, caregivers and healthcare providers.BMC health services research · 2025Article
- Perceived Risks, Mitigation Strategies, and Modifiability of Telehealth in Rural and Remote Emergency Departments: Qualitative Exploration Study.JMIR human factors · 2025Article
- The Advantageous Impact of Telestroke: Global Insights and Implications for Africa: A Scoping Review of Literature.Stroke research and treatment · 2025Review
- Does the Implementation of a Telestroke Program Play a Role in Improving the Clinical Outcomes of Acute Stroke Patients in South East Asian Region?: A Literature Review.Risk management and healthcare policy · 2025Review
- Perspectives of Clients and Health Care Professionals on the Opportunities for Digital Health Interventions in Cerebrovascular Disease Care: Qualitative Descriptive Study.Journal of medical Internet research · 2024Article
- The Urban-Rural Divide in Neurocritical Care in Low-Income and Middle-Income Countries.Neurocritical care · 2024Article
- Support by telestroke networks is associated with increased intravenous thrombolysis and reduced hospital transfers: A german claims data analysis.Health economics review · 2024Review
- 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
- Tele-stroke: a strategy to improve acute stroke care in low- and middle-income countries.Annals of medicine and surgery (2012) · 2024Article
- Telemedical stroke care significantly improves patient outcome in rural areas: Long-term analysis of the German NEVAS network.International journal of stroke : official journal of the International Stroke Society · 2024Article
- Addressing disparities in the global epidemiology of stroke.Nature reviews. Neurology · 2024Review
- Perioperative stroke.Nature reviews. Disease primers · 2024Review
- Hub-and-Spoke Stroke System: Enhancing Acute Ischemic Stroke Care in the Philippines.Cerebrovascular diseases extra · 2024Article
- TACTICS VR Stroke Telehealth Virtual Reality Training for Health Care Professionals Involved in Stroke Management at Telestroke Spoke Hospitals: Module Design and Implementation Study.JMIR serious games · 2023Article
- Single-step Optimization in Triaging Large Vessel Occlusion Strokes: Identifying Factors to Improve Door-to-groin Time for Endovascular Therapy.The western journal of emergency medicine · 2023Article
- Real-time video analysis allows the identification of large vessel occlusion in patients with suspected stroke: feasibility trial of a "telestroke" pathway in Northwestern Switzerland.Frontiers in neurology · 2023Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe potential of telestroke implementation in resource-limited areas has yet to be systematically evaluated. This study aims to investigate the implementation of telestroke on acute stroke care in rural areas.
methodsEligible studies published up to November 2019 were included in this study. Randomized trials were further evaluated for risk of bias with Cochrane RoB 2, while nonrandomized studies with ROBINS-I tool. Random effects model was utilized to estimate effect sizes, and the certainty of evidence was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) tool.
resultsThe search yielded 19 studies involving a total of 28,496 subjects, comprising of prehospital and in-hospital telestroke interventions in the form of mobile stroke units and hub-and-spoke hospitals network, respectively. Telestroke successfully increased the proportion of patients treated ≤3 hr (OR 2.15; 95% CI 1.37-3.40; I
conclusionTelestroke implementation in rural areas was associated with better clinical outcomes as compared to usual care. Its integration in both prehospital and in-hospital settings could help optimize emergency stroke approach. Further studies with higher-level evidence are needed to confirm these findings.
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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.