Evidence map›Paper›PMID 33866272›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2021

Telestroke Across the Continuum of Care: Lessons from the COVID-19 Pandemic.

Amy K Guzik, Sheryl Martin-Schild, Prasanna Tadi, Sherita N Chapman, Sami Al Kasab, Sharyl R Martini, Brett C Meyer, Bart M Demaerschalk, Marcella A Wozniak, Andrew M Southerland

Abstract read
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Holo-Stroke-ii: Stroke care through stroke hologram teleportation- inpatient immersion.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2026
    Article
  2. Article
  3. A Comparison of Patients' and Neurologists' Assessments of their Teleneurology Encounter: A Cross-Sectional Analysis.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2024
    Article
  4. Article
  5. Article
  6. Variation in patterns of telestroke usage during the COVID-19 pandemic.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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.

Amy K GuzikDepartment of Neurology, Wake Forest University, Winston-Salem, NC, USA. Electronic address: aguzik@wakehealth.edu.
Sheryl Martin-SchildDepartment of Neurology, Touro Infirmary and New Orleans East Hospital, New Orleans, LA, USA.
Prasanna TadiDepartment of Neurology, Creighton University, Omaha, NE, USA.
Sherita N ChapmanDepartment of Neurology, University of Virginia, Charlottesville, VA, USA.
Sami Al KasabDepartment of Neurology, Medical University of South Carolina, Charleston, SC, USA.
Sharyl R MartiniDepartment of Neurology, Michael E. DeBakey VA Medical Center and Baylor College of Medicine, Houston, TX, USA.
Brett C MeyerDepartment of Neurosciences, University of California San Diego, San Diego, CA, USA.
Bart M DemaerschalkDepartment of Neurology, Center for Connected Care, and Center for Digital Health, Mayo Clinic College of Medicine and Science, Phoenix, AZ, USA.
Marcella A WozniakDepartment of Neurology, University of Maryland School of Medicine, Baltimore, MD, USA.
Andrew M SoutherlandDepartment of Neurology, University of Virginia, Charlottesville, VA, USA; Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While use of telemedicine to guide emergent treatment of ischemic stroke is well established, the COVID-19 pandemic motivated the rapid expansion of care via telemedicine to provide consistent care while reducing patient and provider exposure and preserving personal protective equipment. Temporary changes in re-imbursement, inclusion of home office and patient home environments, and increased access to telehealth technologies by patients, health care staff and health care facilities were key to provide an environment for creative and consistent high-quality stroke care. The continuum of care via telestroke has broadened to include prehospital, inter-facility and intra-facility hospital-based services, stroke telerehabilitation, and ambulatory telestroke. However, disparities in technology access remain a challenge. Preservation of reimbursement and the reduction of regulatory burden that was initiated during the public health emergency will be necessary to maintain expanded patient access to the full complement of telestroke services. Here we outline many of these initiatives and discuss potential opportunities for optimal use of technology in stroke care through and beyond the pandemic.

Indexed as

Continuity of Patient CareCOVID-19Delivery of Health Care, IntegratedOutcome and Process Assessment, Health CareTelemedicineFee-for-Service PlansHealth Care CostsHealthcare DisparitiesHumansInsurance, Health, ReimbursementIschemic StrokeOccupational HealthPatient SafetyCoronavirus (7)COVID-19 (4), Pandemic (5)SARS CoV-2 (6)Stroke (8)Stroke care (9)Stroke delivery (10)Telemedicine (2)Teleneurology (3)Telestroke (1)

Identifiers

PMID33866272
PMCPMC9760114

What OpenQuestion holds

Textmetadata
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.