Evidence map›Paper›PMID 40530763›Full record

ArticleThe Australian journal of rural health2025

Bridging the Urban and Regional Divide in Stroke Care (BUILDS): A Novel Telestroke Unit Service.

Lauren Arthurson, Suzanne Harrison, Benjamin Clissold, Christopher Bladin, Glenn Howlett, Felix Ng, Philip M C Choi

Abstract read
In one paragraph

Article in The Australian journal of rural health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Lauren ArthursonEchuca Regional Health, Echuca, Victoria, Australia.ORCID 0000-0003-0995-8971
Suzanne HarrisonEchuca Regional Health, Echuca, Victoria, Australia.
Benjamin ClissoldDepartment of Medicine, Monash University, Clayton, Victoria, Australia.ORCID 0000-0002-9747-9817
Christopher BladinVictorian Stroke Telemedicine, Ambulance Victoria, Melbourne, Victoria, Australia.
Glenn HowlettEchuca Regional Health, Echuca, Victoria, Australia.
Felix NgDepartment of Medicine, Melbourne Brain Centre, Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0001-6973-8677
Philip M C ChoiDepartment of Medicine, Melbourne Brain Centre, Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0003-0339-3439

Funding

AVANT Foundation 2021/000146
6 · The paper itself

Abstract

problemPeople living in rural areas of Australia have an increased risk of stroke. Reperfusion decision support is increasingly available in these areas however, access to acute stroke unit care is limited.

settingAn acute telestroke unit pilot was implemented in a regional health service in Victoria. KEY MEASURES FOR IMPROVEMENT: Change in diagnosis post specialist evaluation, patient and staff satisfaction, length of stay, percentage of patients discharged with anti-platelets and care plan provision. STRATEGIES FOR CHANGE: Partnership between metro-based stroke specialists and an onsite stroke coordinator based in a regional site. Early engagement of key decision makers (i.e., hospital executive). EFFECTS OF CHANGES: This model increased diagnostic accuracy and decreased resource use including diagnostic tests, patient transfers and staff deployment. Patients, families and staff reported high levels of satisfaction. The pilot transitioned to a sustainable health service funded model, embedded into 'usual' care. The BUILDS pilot enabled stroke unit certification of the regional health service. LESSONS LEARNT: Telestroke unit model, enabled by an adequately resourced local stroke coordinator, could be the key to ensure all regional Australians have access to stroke unit care.

Indexed as

Rural Health ServicesStrokeTelemedicineHumansPatient SatisfactionPilot ProjectsVictoriaregionalruralstrokestroke coordinatorstroke specialiststroke unittelestroke

Identifiers

PMID40530763
PMCPMC12175748

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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.