Evidence map›Paper›PMID 41737631›Full record

ArticleBMJ neurology open2026

High-income country-supported telestroke thrombolysis to a lower-middle income country: an international proof-of-concept case report.

Willie Toua, Carlos Garcia-Esperon, Wilma Bohage, Hellen Zeming, Neil Spratt, Christopher Levi, Mark Parsons, Anna Ranta

Abstract read
In one paragraph

Article in BMJ neurology open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Willie Toua *Division of Internal Medicine, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
Carlos Garcia-Esperon *Department of Neurology, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.ORCID https://orcid.org/0000-0001-8843-5890
Wilma BohageDivision of Internal Medicine, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
Hellen ZemingDivision of Internal Medicine, Port Moresby General Hospital, Port Moresby, Papua New Guinea.
Neil SprattThe University of Newcastle, Newcastle, New South Wales, Australia.
Christopher LeviDepartment of Neurology, John Hunter Hospital, Newcastle, New South Wales, Australia.
Mark ParsonsUniversity of New South Wales, Sydney, New South Wales, Australia.
Anna RantaMedicine, University of Otago Medical School, Wellington, New Zealand.ORCID https://orcid.org/0000-0002-3223-3330

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The use of telestroke to support patient care beyond geographical boundaries remains underexplored. Methods: We report the first international telestroke experience between Papua New Guinea (PNG) and Australia, as well as a review of the existing evidence of telestroke support beyond borders. Results: In this case vignette, a PNG physician sought support and a second opinion from an Australian stroke neurologist on the management of a patient presenting with stroke symptoms. Despite the 'ad hoc' nature of the process and lack of protocol for such consultation at the time of the review, the patient was successfully treated and had an excellent recovery. Conclusion: In our opinion, international telestroke support is currently underused to guide patient care and physician education in low- and middle-income countries.

Indexed as

STROKE

Identifiers

PMID41737631
PMCPMC12927377

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.