2021
Reperfusion Treatment and Stroke Outcomes in Hospitals With Telestroke Capacity
Wilcock A, Schwamm L, Zubizarreta J, Zachrison K, Uscher-Pines L, Richard J, Mehrotra A. Reperfusion Treatment and Stroke Outcomes in Hospitals With Telestroke Capacity. JAMA Neurology 2021, 78: 527-535. PMID: 33646272, PMCID: PMC7922240, DOI: 10.1001/jamaneurol.2021.0023.Peer-Reviewed Original ResearchConceptsAcute ischemic strokeReperfusion treatmentIschemic strokeShort-term acute carePatients 85 yearsLow-volume hospitalsYear of admissionHospital emergency departmentTraditional Medicare beneficiariesClinical characteristicsCritical access hospitalsStroke outcomeAcute careControl hospitalsEmergency departmentMean ageFunctional statusPrimary diagnosisStroke expertiseHospital characteristicsMAIN OUTCOMEMedicare beneficiariesPatientsHospitalCare patterns
2016
Telestroke—the promise and the challenge. Part two—expansion and horizons
Akbik F, Hirsch J, Chandra R, Frei D, Patel A, Rabinov J, Rost N, Schwamm L, Leslie-Mazwi T. Telestroke—the promise and the challenge. Part two—expansion and horizons. Journal Of NeuroInterventional Surgery 2016, 9: 361. PMID: 26984867, DOI: 10.1136/neurintsurg-2016-012340.Peer-Reviewed Original ResearchConceptsSpecialist careMajor public health concernAcute ischemic strokeTime-sensitive therapiesExamination of patientsUse of telemedicinePublic health concernNovel therapeutic platformIntravenous thrombolysisStroke preventionEndovascular thrombectomyIschemic strokeStroke presentationStroke expertiseTreatment benefitVideo consultationsTreatment ratesHealth concernTelestrokeCarePotential roleStrokeSensitive therapyTherapeutic platformThrombectomyTelestroke—the promise and the challenge. Part one: growth and current practice
Akbik F, Hirsch J, Chandra R, Frei D, Patel A, Rabinov J, Rost N, Schwamm L, Leslie-Mazwi T. Telestroke—the promise and the challenge. Part one: growth and current practice. Journal Of NeuroInterventional Surgery 2016, 9: 357. PMID: 26984868, DOI: 10.1136/neurintsurg-2016-012291.Peer-Reviewed Original ResearchConceptsSpecialist careMajor public health concernAcute ischemic strokeLarge vessel occlusionManagement of patientsTime-sensitive therapiesExamination of patientsUse of telemedicinePublic health concernIntravenous thrombolysisEndovascular thrombectomyIschemic strokeStroke presentationStroke expertiseVessel occlusionTreatment benefitVideo consultationsTreatment ratesHealth concernTelestrokeCurrent practicePatientsStrokeSensitive therapyCare
2008
Organizing regional stroke systems of care
Park S, Schwamm L. Organizing regional stroke systems of care. Current Opinion In Neurology 2008, 21: 43-55. PMID: 18180651, DOI: 10.1097/wco.0b013e3282f4304d.Peer-Reviewed Original ResearchConceptsStroke treatmentStroke systemsHospital-based stroke careMajor public health problemRegional stroke systemAcute stroke treatmentBetter patient outcomesPublic health problemCare delivery modelsContinuous quality improvement activitiesAcute stroke expertiseAir medical transportEmergency medical servicesHealth policy changesQuality improvement activitiesStroke survivalSecondary preventionStroke unitStroke careThrombolytic therapyPrimary preventionStroke expertisePatient outcomesStroke educationHealth problems
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
1999
Role for Telemedicine in Acute Stroke
Shafqat S, Kvedar J, Guanci M, Chang Y, Schwamm L. Role for Telemedicine in Acute Stroke. Stroke 1999, 30: 2141-2145. PMID: 10512919, DOI: 10.1161/01.str.30.10.2141.Peer-Reviewed Original ResearchConceptsNIH Stroke ScaleNIHSS scoreStroke neurologistsStroke ScaleAcute strokePatient's bedsideAcute stroke assessmentTotal NIHSS scoreAcute stroke treatmentEvaluation of patientsReliable clinical instrumentIschemic strokeStroke treatmentClinical outcomesStroke specialistsStroke expertiseBedside examinationStroke assessmentBedside assessmentKappa coefficientTelemedicine linkPatientsBedsideClinical instrumentsStroke