دورية أكاديمية
Comparison between telestroke versus face-to-face thrombolysis models in stroke management in Colombia ; Comparación del modelo de teletrombólisis versus trombólisis presencial en el manejo del ataque cerebrovascular isquémico en Colombia
| العنوان: | Comparison between telestroke versus face-to-face thrombolysis models in stroke management in Colombia ; Comparación del modelo de teletrombólisis versus trombólisis presencial en el manejo del ataque cerebrovascular isquémico en Colombia |
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| المؤلفون: | Alexandra, A.N.M., B.S.J., Luis, R.C.E., Carlos, J.L.S., Patricia, M.R.B., Alexander, A.P., Alexander, E.M., Álvaro, Alfredo, M.L., Norman, L.V., Loida, C.C. |
| المصدر: | https://www.elsevier.es/en-revista-neurology-perspectives-17-articulo-comparison-between-telestroke-versus-face-to-face-S2667049623000030Test. |
| بيانات النشر: | Ediciones Doyma, S.L. Spain |
| سنة النشر: | 2023 |
| المجموعة: | REDICUC - Repositorio Universidad de La Costa |
| مصطلحات موضوعية: | Modelo de atención, Stroke, Thrombolytic therapy, Telehealth, Healthcare models, Telestroke, Ataque Cerebrovascular Agudo, Terapia Trombolítica, Telemedicina |
| جغرافية الموضوع: | Colombia |
| الوصف: | Introduction: The incidence of stroke continues to rise globally, as it remains an important cause in overall mortality and disability. Given the fact that several patients cannot access thrombolytic therapy due to neurologist unavailability or because of geographic barriers, Teleictus and Telestroke have become reasonable alternatives for providing treatment. Objective: The Teleictus network in Colombia was first implemented in 2018 in Boyacá; Our main goal was to compare the results of two models approaching patient care in stroke: Telestroke versus Face-to-face thrombolysis. Materials and Methods: This was an observational, analytic study using a retrospective cohort. Sociodemographic, clinical, protocol thrombolysis related and clinical evolution variables were considered into the study. Results 65 patients were allocated to the Face-to-face thrombolysis model and 35 were set into the Telestroke model. Median age was 69 and 67 years respectively; both groups had a higher proportion of women than men. Median symptom-onset-to-door time was 136 min in the Face-to-face thrombolysis and 81 min in the Telestroke model p = 0.0083. Median start NIHSS was eleven points for the former and twelve for the latter. At discharge, both groups had a median NIHSS score of 4. Conclusions: Thrombolytic therapy showed safety and efficacy. First and second level institutions are key in the setup of the Telestroke and Teleictus algorithms. More studies are needed to further evaluate this intervention. ; Introducción: el ataque cerebrovascular (ACV) ha aumentado su incidencia global en los últimos años, asociado constituye causa importante de mortalidad y una de las primeras causas de años perdidos por discapacidad. Por ende, es necesario contar con tratamientos que modifiquen el habitual desarrollo natural de la enfermedad. La trombólisis intravenosa con activador tisular del plasminógeno (tPA) es el principal tratamiento de reperfusión sistémica. Los pacientes no pueden acceder a esta terapia por falta de neurólogos y barreras ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | 7 páginas; application/pdf |
| اللغة: | English |
| تدمد: | 2667-0496 |
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Efficacy and safety of the telestroke drip-and-stay model: a systematic review and meta-analysis. J Stroke Cerebrovasc Dis. 2021;30(4):105638 1 de abril de.; 25. Sairanen T, Soinila S, Nikkanen M, Rantanen K, Mustanoja S, Farkkila M, et al. Two years of Finnish telestroke: thrombolysis at spokes equal to that at the hub. Neurology. 2011;76(13): 1145–52 29 de marzo de.; A. N. M. Alexandra et al., “COMPARISON BETWEEN TELESTROKE VERSUS FACE-TO-FACE THROMBOLYSIS MODELS IN STROKE MANAGEMENT IN COLOMBIA.”, Neurol. Perspectives, p. 100111, enero de 2023. doi:10.1016/j.neurop.2023.100111; https://hdl.handle.net/11323/10449Test; Corporación Universidad de la Costa; REDICUC - Repositorio CUC; https://repositorio.cuc.edu.coTest/ |
| DOI: | 10.1016/j.neurop.2023.100111 |
| الإتاحة: | https://doi.org/10.1016/j.neurop.2023.100111Test https://hdl.handle.net/11323/10449Test https://repositorio.cuc.edu.coTest/ |
| حقوق: | © 2023 Sociedad Española de Neurología. ; Atribución-NoComercial-SinDerivadas 4.0 Internacional (CC BY-NC-ND 4.0) ; https://creativecommons.org/licenses/by-nc-nd/4.0Test/ ; info:eu-repo/semantics/openAccess ; http://purl.org/coar/access_right/c_abf2Test |
| رقم الانضمام: | edsbas.BECCC0F4 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 26670496 |
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| DOI: | 10.1016/j.neurop.2023.100111 |