ArticleStroke (Hoboken, N.J.)2026
Impact of Telemedicine Stroke Nurse Practitioner Care on Inpatient Management in Vascular Neurologist Underserved Primary Stroke Centers.
Article in Stroke (Hoboken, N.J.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
backgroundMany primary stroke centers (PSCs) lack vascular neurologists, unnecessarily transferring thrombolysis patients to comprehensive stroke centers (CSCs). We implemented a telemedicine inpatient stroke nurse practitioner (NP) PSC service to reduce unnecessary transfers.
methodsA prospective observational study was conducted to assess the feasibility and quality of telemedicine-delivered inpatient NP acute stroke management at CSC-affiliated PSCs. Following systemic thrombolysis treatment directed by telemedicine CSC vascular neurologists, uncomplicated patients were admitted to PSC internal medicine hospitalists; hospitalists ordered stroke consultation by either in-person community general neurologists (GNs) or a CSC stroke-trained telemedicine NP. We analyzed demographics, clinical management variables, complications, and stroke core measure compliance between patients receiving GN or NP consultation.
resultsAmong 1237 patients, 720 (58.2%) were managed by GNs and 517 (41.8%) by NPs. Patient sex and admission National Institutes of Health Stroke Scale scores were similar, but NP patients were younger than GN patients (64.5 + 14 versus 69 + 13 years;
conclusionsNP telemedicine-delivered inpatient stroke care in vascular neurologist-underserved PSCs is feasible and results in improved adherence to several guideline-directed core measures for stroke center quality monitoring. These findings support expanded use with further study of the impact of telemedicine stroke NPs in PSC hospitals to prevent unnecessary patient transfers to CSCs.
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