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Background: IV thrombolysis represents the most effective acute stroke therapy. However, it is almost exclusively performed in stroke centers and is not available in most community areas.
Twelve community hospitals with no or very limited stroke thrombolysis experience and two stroke centers were connected via a network providing online neurologic examination and transfer of neuroradiologic scans.
Following recently published preliminary results on acute phase safety of telethrombolysis, the present study reports on its long-term functional outcome.
Methods: Modified Rankin Scale mRS , Barthel Index BI , and mortality rate were prospectively collected 3 and 6 months after IV thrombolysis in patients of community network hospitals telemedical group and the stroke centers.
Results: Over the first 22 months, patients were treated with tPA in the telemedical hospitals and in the stroke center hospitals. Mortality rates were A good functional outcome after 6 months was found in Conclusions: Mortality rates and functional outcomes for telemedicine-linked community hospitals and stroke centers were similar and comparable to the results from randomized trials.