Evidence map›Paper›PMID 36791674›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2023

Variation in patterns of telestroke usage during the COVID-19 pandemic.

Carter H Nakamoto, Andrew D Wilcock, Lee H Schwamm, Kori S Zachrison, Lori Uscher-Pines, Ateev Mehrotra

Abstract read
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Carter H NakamotoDepartment of Health Care Policy, Harvard Medical School, Boston, MA, United States.
Andrew D WilcockUniversity of Vermont Medical School, Burlington, United States.
Lee H SchwammDepartment of Neurology, Massachusetts General Hospital, Boston, MA, United States.
Kori S ZachrisonDepartment of Emergency Medicine, Massachusetts General Hospital, Boston, MA, United States.
Lori Uscher-PinesRAND Health, Arlington, VA, United States.
Ateev MehrotraDepartment of Health Care Policy, Harvard Medical School, Boston, MA, United States; Beth Israel Deaconess Medical Center, Boston, MA, United States. Electronic address: mehrotra@hcp.med.harvard.edu.

Funding

The Impact of Telestroke on Patterns of Care and Long-Term OutcomesR01NS111952 · NINDS · HARVARD MEDICAL SCHOOL · PI MEHROTRA, ATEEV · 2019 to 2023
$2.4M
NINDS NIH HHS R01 NS111952
6 · The paper itself

Abstract

objectivesEarly in the pandemic, there was a substantial increase in telestroke uptake among hospitals. The motivations for using telestroke during the pandemic might have been different than for hospitals that adopted telestroke previously. We compared stroke care at hospitals that adopted telestroke prior to the pandemic to care at hospitals that adopted telestroke during the pandemic. MATERIALS AND

methodsStroke episodes and telestroke use were identified in Medicare Fee-for-Service Data. Hospital and episode characteristics were compared between pre-pandemic (Jan. 2019-Mar. 2020) and pandemic (Apr. 2020-Dec. 2020) adopters.

resultsHospital bed counts, critical access statuses, stroke volumes, clinical operating margins, shares of stroke care via telestroke, and vascular neurology consult rates did not differ significantly between pre-pandemic and pandemic-adopting hospitals. Hospitals that never adopted telestroke during the study period were more likely to be small critical access hospitals with low clinical operating margins.

conclusionsCompared to hospitals that adopted telestroke before the pandemic, hospitals that adopted telestroke during the pandemic were similar in characteristics and how they used telestroke.

Indexed as

COVID-19StrokeTelemedicineAgedHumansMedicarePandemicsThrombolytic TherapyUnited StatesCOVID-19StrokeTelemedicineTelestroke

Identifiers

PMID36791674
PMCPMC9899774

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.