ArticleDer Nervenarzt2021
[Telemedicine in stroke-pertinent to stroke care in Germany].
Article in Der Nervenarzt, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 22 citations in OpenAlex.
- Stakeholder perspectives and requirements for environmental-data-driven capacity forecasting in stroke care: a national survey of German stroke units.Frontiers in neurology · 2026Article
- Teleneurology expertise in intensive care units across Germany - a nationwide survey.Neurological research and practice · 2025Article
- Evaluation of hybrid stroke quality indicators by integrating NIHSS and claims data for improved outcome prediction.Scientific reports · 2025Article
- Telemedicine networks for acute stroke: An analysis of global coverage, gaps, and opportunities.International journal of stroke : official journal of the International Stroke Society · 2025Article
- 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
- Recommendations for the organization of the teleconsultation service in a telestroke network.Neurological research and practice · 2024Article
- [Comparison of acute stroke care pathways-A qualitative multicenter study in three referring hospitals of a stroke network].Der Nervenarzt · 2023Article
- Telestroke networks for area-wide access to endovascular stroke treatment.Neurological research and practice · 2023Review
- The impact of regional deprivation on stroke incidence, treatment, and mortality in Germany.Neurological research and practice · 2023Article
- [Prehospital stroke treatment in German-speaking countries].Notfall & rettungsmedizin · 2023Article
- Telestroke activity across Europe; The results of a European Stroke Organization survey.Frontiers in stroke · 2023Article
- Time-to-care metrics in patients with interhospital transfer for mechanical thrombectomy in north-east Germany: Primary telestroke centers in rural areas vs. primary stroke centers in a metropolitan area.Frontiers in neurology · 2022Article
- [Telemedicine in Stroke Care].Der Nervenarzt · 2021Article
- Intravenous Thrombolysis by Telestroke in the 3- to 4.5-h Time Window.Frontiers in neurology · 2021Article
Corrections and comments
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Authors and funding
33 authors at 20 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectiveTelemedical stroke networks improve stroke care and provide access to time-dependent acute stroke treatment in predominantly rural regions. The aim is a presentation of data on its utility and regional distribution.
methodsThe working group on telemedical stroke care of the German Stroke Society performed a survey study among all telestroke networks.
resultsCurrently, 22 telemedical stroke networks including 43 centers (per network: median 1.5, interquartile range, IQR, 1-3) as well as 225 cooperating hospitals (per network: median 9, IQR 4-17) operate in Germany and contribute to acute stroke care delivery to 48 million people. In 2018, 38,211 teleconsultations (per network: median 1340, IQR 319-2758) were performed. The thrombolysis rate was 14.1% (95% confidence interval 13.6-14.7%) and transfer for thrombectomy was initiated in 7.9% (95% confidence interval 7.5-8.4%) of ischemic stroke patients. Financial reimbursement differs regionally with compensation for telemedical stroke care in only three federal states.
conclusionTelemedical stroke care is utilized in about 1 out of 10 stroke patients in Germany. Telemedical stroke networks achieve similar rates of thrombolysis and transfer for thrombectomy compared with neurological stroke units and contribute to stroke care in rural regions. Standardization of network structures, financial assurance and uniform quality measurements may further strengthen the importance of telestroke networks in the future.
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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.