Evidence map›Paper›PMID 40727597›Full record

ArticleArchives of academic emergency medicine2025

Real-Time Telemedical Oversight Improves Prehospital Stroke Metrics: A Five-Year Cohort Study.

Ponlawat Kanchayawong, Kasamon Aramvanitch, Chaiyaporn Yuksen, Satariya Trakulsrichai, Pungkava Sricharoen, Sureerat Suwatcharangkoon, Patcharaporn Sirintaranont, Jesada Keandoungchun, Promphet Nuanprom, Chetsadakon Jenpanitpong and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of academic emergency medicine, 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

11 authors.

Ponlawat KanchayawongDivision of Paramedicine, Department of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Kasamon AramvanitchDepartment of Emergency Medicine, Faculty of medicine, Ramathibodi hospital, Mahidol University, Bangkok, Thailand.
Chaiyaporn YuksenDepartment of Emergency Medicine, Faculty of medicine, Ramathibodi hospital, Mahidol University, Bangkok, Thailand.
Satariya TrakulsrichaiDepartment of Emergency Medicine, Faculty of medicine, Ramathibodi hospital, Mahidol University, Bangkok, Thailand.
Pungkava SricharoenDepartment of Emergency Medicine, Faculty of medicine, Ramathibodi hospital, Mahidol University, Bangkok, Thailand.
Sureerat SuwatcharangkoonDivision of Neurology, Department of Medicine Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Patcharaporn SirintaranontDivision of Neurology, Department of Medicine Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Jesada KeandoungchunDivision of Neurology, Department of Medicine Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Promphet NuanpromDivision of Paramedicine, Department of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Chetsadakon JenpanitpongDivision of Paramedicine, Department of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Suthap JaiboonDivision of Paramedicine, Department of Emergency Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: By enabling direct consultation with neurologists, Real-Time Telemedical Oversight (ReTMO) can facilitate rapid stroke assessment and decision-making. This study aimed to assess the efficacy of prehospital stroke management before and after ReTMO implementation. Methods: Results: The study included 91 prehospital stroke patients, with 36 in the pre-protocol group and 55 in the post-protocol group. Implementation of the structured prehospital stroke protocol was associated with a significant reduction in door-to-computed tomography (CT) scan time by 10.47 (95% confidence interval (CI): -17.62 to -3.3) minutes and door-to-laboratory result time by 15.90 (95% CI: -30.48 to -1.33) minutes. Additionally, adjusted ordinal logistic regression analysis demonstrated a significant improvement in neurological outcomes at hospital discharge (odds ratio (OR) = 0.14, 95% CI: 0.02-0.99, P = 0.049). However, reductions in ED stroke treatment time and hospital length of stay were not statistically significant. Conclusions: Implementing ReTMO alongside a structured prehospital stroke protocol significantly reduced in-hospital delays in door-to-CT and door-to-laboratory result times while also improving neurological outcomes at hospital discharge.

Indexed as

Emergency medical servicesStrokeTelemedicineTime-to-treatmentTreatment outcome

Identifiers

PMID40727597
PMCPMC12303409

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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.