2021
National Trends in Telestroke Utilization in a US Commercial Platform Prior to the COVID-19 Pandemic
Zachrison KS, Sharma R, Wang Y, Mehrotra A, Schwamm LH. National Trends in Telestroke Utilization in a US Commercial Platform Prior to the COVID-19 Pandemic. Journal Of Stroke And Cerebrovascular Diseases 2021, 30: 106035. PMID: 34419836, PMCID: PMC8494566, DOI: 10.1016/j.jstrokecerebrovasdis.2021.106035.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCOVID-19Databases, FactualFemaleFibrinolytic AgentsHumansMaleMiddle AgedPractice Patterns, Physicians'Quality ImprovementQuality Indicators, Health CareRemote ConsultationStrokeThrombolytic TherapyTime FactorsTime-to-TreatmentTissue Plasminogen ActivatorTreatment OutcomeUnited StatesConceptsIschemic stroke patientsTelestroke consultationAlteplase deliveryStroke patientsNumber of patientsNumber of consultsCOVID-19 public health emergencyPublic health emergencyAlteplase useMedian doorNeedle timeStroke severityED arrivalEmergency departmentImaging reviewHospital characteristicsTelestroke networkCT scanHospital participationSpoke sitesProvider groupsPatientsHospital sizeStudy periodHealth emergency
2020
Trends in Telestroke Care Delivery
Sharma R, Zachrison KS, Viswanathan A, Matiello M, Estrada J, Anderson CD, Etherton M, Silverman S, Rost NS, Feske SK, Schwamm LH. Trends in Telestroke Care Delivery. Circulation Cardiovascular Quality And Outcomes 2020, 13: e005903. PMID: 32126805, PMCID: PMC7374496, DOI: 10.1161/circoutcomes.119.005903.Peer-Reviewed Original ResearchAcademic Medical CentersAgedAged, 80 and overCooperative BehaviorDelivery of Health Care, IntegratedFemaleFibrinolytic AgentsHumansInterdisciplinary CommunicationMaleMiddle AgedNew EnglandOutcome and Process Assessment, Health CareProgram EvaluationProof of Concept StudyRemote ConsultationRetrospective StudiesStrokeThrombolytic TherapyTime FactorsTime-to-TreatmentTissue Plasminogen ActivatorTreatment OutcomeWorkflow
2019
Teleneurology Consultations for Prognostication and Brain Death Diagnosis
Girkar U, Palacios R, Gupta A, Schwamm L, Singla P, May H, Estrada J, Whitney C, Matiello M. Teleneurology Consultations for Prognostication and Brain Death Diagnosis. Telemedicine Journal And E-Health 2019, 26: 482-486. PMID: 31503539, DOI: 10.1089/tmj.2019.0033.Peer-Reviewed Original ResearchConceptsBrain deathNeurology consultationIntensive care unitBrain death diagnosisPresence of apneaGood inter-rater reliabilityNeurologic prognosisTeleneurology consultationsApnea testingBrainstem reflexesCare unitNeurologic examinationBedside teamCardiac arrestBrain injuryComatose stateInter-rater reliabilityDeath diagnosisConsensus criteriaAmerican AcademyRemote neurologistDiagnosisDeathStandardized scalesConsultation
2018
Virtual Visits Partially Replaced In-Person Visits In An ACO-Based Medical Specialty Practice
Shah S, Schwamm L, Cohen A, Simoni M, Estrada J, Matiello M, Venkataramani A, Rao S. Virtual Visits Partially Replaced In-Person Visits In An ACO-Based Medical Specialty Practice. Health Affairs 2018, 37: 2045-2051. PMID: 30633681, DOI: 10.1377/hlthaff.2018.05105.Peer-Reviewed Original Research
2017
American Telemedicine Association: Telestroke Guidelines
Demaerschalk BM, Berg J, Chong BW, Gross H, Nystrom K, Adeoye O, Schwamm L, Wechsler L, Whitchurch S. American Telemedicine Association: Telestroke Guidelines. Telemedicine Journal And E-Health 2017, 23: 376-389. PMID: 28384077, PMCID: PMC5802246, DOI: 10.1089/tmj.2017.0006.Peer-Reviewed Original ResearchMeSH KeywordsAmerican Heart AssociationHumansPractice Guidelines as TopicRemote ConsultationSocieties, MedicalStrokeTelemedicineUnited StatesConceptsAcute stroke syndromeStroke patient careAcute care facilitiesTelestroke modelStroke syndromeHemorrhagic strokeNeurologic emergencyAcute phaseHospital encountersNeurological emergencyStroke careTelestroke servicesCare facilitiesClinical practiceClinical protocolsPatient careClinical servicesRemote careHealthcare practitionersCarePatientsStrokeQuality outcomesEntire continuumGuidelines
2013
Teleneurology applications
Wechsler L, Tsao J, Levine S, Swain-Eng R, Adams R, Demaerschalk B, Hess D, Moro E, Schwamm L, Steffensen S, Stern B, Zuckerman S, Bhattacharya P, Davis L, Yurkiewicz I, Alphonso A. Teleneurology applications. Neurology 2013, 80: 670-676. PMID: 23400317, PMCID: PMC3590056, DOI: 10.1212/wnl.0b013e3182823361.Peer-Reviewed Original ResearchConceptsNeurologic careAcute stroke assessmentAmerican Stroke AssociationPrimary care physiciansFederal health care policyExpansion of telemedicineHealth care policyNeurology specialistsCare physiciansPhysician awarenessStroke AssociationSpecialty careNeurology practiceStroke assessmentAmerican AcademyPatient careNeurologistsCareTeleneurologyCare policyUnderserved communitiesRural areasUnderserved locationsPrimary studiesCurrent literature
2012
The Status of Telestroke in the United States
Silva G, Farrell S, Shandra E, Viswanathan A, Schwamm L. The Status of Telestroke in the United States. Stroke 2012, 43: 2078-2085. PMID: 22700532, DOI: 10.1161/strokeaha.111.645861.Peer-Reviewed Original Research
2009
Remote Supervision of IV-tPA for Acute Ischemic Stroke by Telemedicine or Telephone Before Transfer to a Regional Stroke Center Is Feasible and Safe
Pervez M, Silva G, Masrur S, Betensky R, Furie K, Hidalgo R, Lima F, Rosenthal E, Rost N, Viswanathan A, Schwamm L. Remote Supervision of IV-tPA for Acute Ischemic Stroke by Telemedicine or Telephone Before Transfer to a Regional Stroke Center Is Feasible and Safe. Stroke 2009, 41: e18-e24. PMID: 19910552, PMCID: PMC3383769, DOI: 10.1161/strokeaha.109.560169.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAged, 80 and overBrain IschemiaFeasibility StudiesFemaleFollow-Up StudiesHospitalizationHumansInfusions, IntravenousMaleMiddle AgedPatient TransferProspective StudiesRemote ConsultationRetrospective StudiesStrokeTelemedicineTelephoneTime FactorsTissue Plasminogen ActivatorYoung AdultConceptsTissue plasminogen activatorOSH patientsCatheter-based reperfusionGuidelines-Stroke databaseAcute ischemic strokeOutcomes of patientsRegional stroke centerDischarge functional statusRSC patientsTelestroke patientsIntravenous thrombolysisIschemic strokeIV-tPARankin scoreSevere strokeStroke centersSymptom onsetTPA infusionRetrospective reviewStroke databaseStroke specialistsFunctional outcomeFunctional statusTelephone consultationsSystemic hemorrhage
2004
Virtual TeleStroke Support for the Emergency Department Evaluation of Acute Stroke
Schwamm L, Rosenthal E, Hirshberg A, Schaefer P, Little E, Kvedar J, Petkovska I, Koroshetz W, Levine S. Virtual TeleStroke Support for the Emergency Department Evaluation of Acute Stroke. Academic Emergency Medicine 2004, 11: 1193-1197. PMID: 15528584, DOI: 10.1197/j.aem.2004.08.014.Peer-Reviewed Original ResearchConceptsTissue plasminogen activatorAcute strokeTelestroke consultationNeedle timeSymptom onsetEmergency departmentHealth Stroke Scale scoreIntravenous tissue plasminogen activatorMean National InstitutesPossible acute strokeEmergency department evaluationStroke Scale scoreAcute ischemic strokeEvaluation of patientsEligible patientsStroke neurologistsIschemic strokeDepartment evaluationNeurologic examinationRandomized trialsStroke expertiseProtocol violationsEmergency physiciansInter-rater reliabilityPatient management