Evidence map›Paper›PMID 41287029›Full record

ArticleNeurological research and practice2025

Teleneurology expertise in intensive care units across Germany - a nationwide survey.

Eyad Altarsha, Kristian Barlinn, Albrecht Günther, Hans Worthmann, Karl-Georg Häusler, Christian Urbanek, Benjamin Büchele, Torsten Kraya, Stefan Merkelbach, Mazen Abu-Mugheisib and 10 more

Abstract read
In one paragraph

Article in Neurological research and practice, 2025. 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

20 authors.

Eyad Altarsha *Department of Neurology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307, Dresden, Germany.
Kristian Barlinn *Department of Neurology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307, Dresden, Germany.
Albrecht GüntherDepartment of Neurology, University Hospital Jena, Jena, Germany.
Hans WorthmannDepartment of Neurology, Hannover Medical School, Hannover, Germany.
Karl-Georg HäuslerDepartment of Neurology, University Hospital Ulm, Ulm, Germany.
Christian UrbanekDepartment of Neurology, Ludwigshafen Municipal Hospital, Ludwigshafen, Germany.
Benjamin BücheleDepartment of Neurology, Karlsruhe Municipal Hospital, Karlsruhe, Germany.
Torsten KrayaDepartment of Neurology, St. Georg Hospital Leipzig, Leipzig, Germany.
Stefan MerkelbachDepartment of Neurology, Heinrich Braun Hospital Zwickau, Zwickau, Germany.
Mazen Abu-MugheisibDepartment of Neurology, Braunschweig Municipal Hospital, Braunschweig, Germany.
Bernd KallmünzerDepartment of Neurology, University Hospital Erlangen, Erlangen, Germany.
Philipp ZicklerDepartment of Neurology and Clinical Neurophysiology, University Hospital Augsburg, Augsburg, Germany.
Florian SchöberlDepartment of Neurology, LMU University Hospital Munich-Großhadern, München, Germany.
Jürgen BardutzkyDepartment of Neurology, University Hospital Freiburg, Freiburg, Germany.
Julian BöselDepartment of Neurology, Friedrich Ebert Hospital Neumünster, Neumünster, Germany.
Heinrich J AudebertDepartment of Neurology and Experimental Neurology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Gordian J HubertDepartment of Neurology, München-Klinik Harlaching, München, Germany.
Hagen B HuttnerDepartment of Neurology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307, Dresden, Germany.
Christoph GumbingerDepartment of Neurology, University Hospital Heidelberg, Heidelberg, Germany.
Jessica BarlinnDepartment of Neurology, Faculty of Medicine, University Hospital Carl Gustav Carus, Technische Universität Dresden, Fetscherstrasse 74, 01307, Dresden, Germany. jessica.barlinn@ukdd.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTelemedicine is well established in acute stroke care and significantly contributes to widespread access to treatment. In intensive care, telemedicine is increasingly used to reduce mortality and complications. The German Society of Anesthesiology and Intensive Care Medicine (DGAI) also recommends telemedical consultations for neurological indications.

methodsThe aim of this survey was to assess structure, usage and need for telemedicine consultations for non-neurologically managed intensive care units and to determine whether there is a need to expand telemedicine stroke networks to include neurointensive care. A national cross-sectional survey was conducted, targeting all 22 German telemedicine stroke networks. The survey included 27 questions on structural aspects of intensive care units, the utilization of telemedical consultations and experiences with tele-neurointensive diagnostics and therapy. Additionally, a sub-study was conducted in six spoke hospitals within the telemedicine stroke network East Saxony (SOS-TeleNET).

resultsOf the 22 networks contacted, 17 (77%) responded. Of these, 11 (65%) regularly received consultation requests from intensive care units, most of which were handled by teleneurologists. The most common indications consisted of ischemic and hemorrhagic strokes, epileptic seizures as well as prognosis assessment and therapy goal adjustments. Several networks indicated interest in expanding telemedicine services for neurological care in intensive care units.

conclusionsThe survey highlights a notable need for telemedicine neurointensive care consultations. Expanding telemedicine infrastructure in this field could contribute to improving the quality of care.

Indexed as

Neurocritical careStroke networksTelemedicineTeleneurology

Identifiers

PMID41287029
PMCPMC12645759

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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.