Review
Clinical Neurology
Gordian J. Hubert, Francesco Corea, Felix Schlachetzki
Summary: Telemedicine during pandemics like COVID-19 can provide high-quality medical procedures, limit potentially contagious risks, save critical resources, and serve as a safe expert support system for hospitals.
CURRENT OPINION IN NEUROLOGY
(2021)
Review
Medicine, General & Internal
Hoor Jalo, Mattias Seth, Minna Pikkarainen, Ida Haggstrom, Katarina Jood, Anna Bakidou, Bengt Arne Sjoqvist, Stefan Candefjord
Summary: This scoping review aims to summarize literature on AI-based decision support systems and potential new data sources for early characterization of stroke. By developing computerized systems based on AI and new data sources, the accuracy of stroke identification can be improved, thereby reducing mortality and improving patient outcomes.
Article
Medicine, General & Internal
Elizabeth Taylor, Gianpaolo Fusari, Ara Darzi, Fiona Jones
Summary: The OnTrack program aims to enhance arm and hand recovery poststroke, and the findings from the process evaluation showed that participants found it beneficial, with a strong emphasis on the coaching role and the motivational aspect of activity tracking. These findings will inform future research and delivery.
Review
Health Care Sciences & Services
Wenjing Cao, Azidah Abdul Kadir, Yuhui Wang, Juan Wang, Bolin Dai, Yilin Zheng, Pengjuan Mu, Chencheng Hu, Jianlu Chen, Luo Na, Intan Idiana Hassan
Summary: Stroke is a major cause of mortality and disability worldwide, and there is a lack of knowledge regarding mobile apps for stroke survivors. This review identified and described apps for stroke management and found that many of them lack healthcare professionals' and patients' involvement, emphasizing the need for customized apps.
Article
Geriatrics & Gerontology
Camilla B. Pimentel, Eileen M. Dryden, Kathryn A. Nearing, Laura M. Kernan, Meaghan A. Kennedy, William W. Hung, Jessica Riley, Lauren R. Moo
Summary: This study explored the organizational barriers and facilitators to the use of geriatric telemedicine specialty care in rural community-based outpatient clinics (CBOCs). Interviews with clinicians and staff revealed that partnerships, knowledge of geriatrics and telehealth resources, outreach from specialists, and use of other telehealth services enabled CBOCs to offer geriatric telemedicine care. However, constraints on space and internet connectivity, limited familiarity with telemedicine resources, and perceptions of older veterans' preferences for in-person visits were identified as barriers.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Rheumatology
Jasvinder A. Singh, John S. Richards, Elizabeth Chang, Amy Joseph, Bernard Ng
Summary: This study assessed the perspectives of rheumatology providers at Veterans Affairs facilities regarding rheumatic disease health care issues during the COVID-19 pandemic. Results showed that a significant proportion of providers were comfortable with using technology for health care services, with higher comfort levels associated with higher provider resilience.
ARTHRITIS CARE & RESEARCH
(2021)
Review
Cardiac & Cardiovascular Systems
James E. Tooley, Marco Valentin Perez
Summary: Mobile health devices are capable of large-scale screening for atrial fibrillation, detecting more cases than usual care despite existing controversy. Consumer-driven screening is happening in both low-risk and high-risk populations. Young people, who are early adopters of these devices, may lead to more early onset atrial fibrillation patients coming to clinical attention.
Article
Medicine, General & Internal
Brodie M. Sakakibara, Elise Wiley, Ruth Barclay, Mark Bayley, Jennifer C. Davis, Janice J. Eng, Anne Harris, Elizabeth L. Inness, Marilyn MacKay-Lyons, Jennifer Monaghan, Courtney Pollock, Sepideh Pooyania, Amy Schneeberg, Robert Teasell, Jennifer Yao, Ada Tang
Summary: The study aims to investigate the effectiveness of telerehabilitation for lower extremity recovery in stroke patients. 96 stroke survivors within 1 year poststroke will be recruited and randomly assigned to either a telerehabilitation group or an education group. The primary outcome is the Timed Up and Go test. The findings from this study will contribute to the promotion of telerehabilitation in stroke recovery.
Article
Medicine, General & Internal
Chun Ka Wong, Jo Jo Hai, Yuk-Ming Lau, Mi Zhou, Hin-Wai Lui, Kui Kai Lau, Koon-Ho Chan, Toi Meng Mok, Yong Liu, Yingqing Feng, Ning Tan, Weng-Chio Tam, Kun-Chong Tam, Xiuhua Feng, Ming-Liang Zuo, Li-Xue Yin, Jing Tan, Wen-Jun Zhang, Xiaofei Jiang, Xiaoyu Huang, Jianfeng Ye, Yan Liang, Wei Jiang, Zhen Lei, Duo Huang, Wen-Sheng Yue, Guanming Tan, Bryan P. Yan, Mario Alberto Evora, Ji-Yan Chen, Chung-Wah Siu
Summary: This study aims to explore the use of long-term home-based ECG monitoring for atrial fibrillation (AF) detection and stroke prevention in patients with a history of stroke. The study will utilize a specially designed handheld ECG device and a smartphone application for AF screening, and an artificial intelligence-based diagnostic system for analysis. The primary endpoint of the study is the time to first detection of AF within 24 months of follow-up.
Review
Medicine, General & Internal
Sarah Park, Ada Tang, Courtney Pollock, Brodie M. Sakakibara
Summary: This paper describes the protocol of a systematic review and meta-analysis that aims to evaluate the clinical outcomes of lower extremity-focused telerehabilitation interventions for stroke patients.
Article
Clinical Neurology
Erik Simon, Matin Forghani, Andrij Abramyuk, Simon Winzer, Claudia Wojciechowski, Lars-Peder Pallesen, Timo Siepmann, Heinz Reichmann, Volker Puetz, Kristian Barlinn, Jessica Barlinn
Summary: This study evaluated the safety and short-term efficacy of intravenous thrombolysis (IVT) in acute ischemic stroke within an expanded time window delivered through a hub-and-spoke telestroke network. The results showed that IVT delivered through the telestroke network in the expanded time window was safe with equivalent short-term functional outcomes for patients admitted to spoke and hub centers.
FRONTIERS IN NEUROLOGY
(2021)
Article
Economics
Todd H. Wagner, Lena Schoemaker, Elizabeth Gehlert, Richard E. Nelson, Katherine Murphy, Sharyl Martini, Glenn D. Graham, Prasanthi Govindarajan, Linda S. Williams
Summary: This study examined healthcare costs for patients with stroke before and after the implementation of the US Department of Veterans Affairs National TeleStroke Program (NTSP). The results showed that NTSP was associated with higher rates of patients receiving guideline concordant care, but there were no observed savings over 12 months and the increased costs were due to higher rates of guideline concordant care.
Article
Clinical Neurology
Georgios S. Sioutas, Abdelaziz Amllay, Ching-Jen Chen, Kareem El Naamani, Rawad Abbas, Paarth Jain, Ananya Garg, Emily A. Stine, Stavropoula I. Tjoumakaris, Nabeel A. Herial, M. Reid Gooch, Hekmat Zarzour, Richard F. Schmidt, Robert H. Rosenwasser, Pascal Jabbour
Summary: This study collected data on stroke patients transferred for mechanical thrombectomy (MT) between 2017 and 2021. The results showed that weather had an impact on transportation and outcomes, with higher temperatures associated with better outcomes and daily drizzle associated with poorer outcomes. Although weather influenced transportation mode, it did not affect patient outcomes. Further research is needed to improve transfer protocols and outcomes.
Article
Clinical Neurology
Archana Podury, Sophia M. Raefsky, Lucy Dodakian, Liam McCafferty, Vu Le, Alison McKenzie, Jill See, Robert J. Zhou, Thalia Nguyen, Benjamin Vanderschelden, Gene Wong, Laila Nazarzai, Jutta Heckhausen, Steven C. Cramer, Amar Dhand
Summary: The study found that the size and density of social networks were associated with improvement in motor function among rehabilitation patients. Social network density was related to arm motor gains, while network size was related to reduced depressive symptoms. Patients undergoing telerehabilitation had larger and more open social networks compared to historical stroke patients who did not receive telerehabilitation.
FRONTIERS IN NEUROLOGY
(2021)
Article
Geriatrics & Gerontology
Steffi Jiru-Hillmann, Katharina M. A. Gabriel, Michael Schuler, Silke Wiedmann, Johannes Muehler, Klaus Doetter, Hassan Soda, Alexandra Rascher, Sonka Benesch, Peter Kraft, Mathias Pfau, Joachim Stenzel, Karin von Nippold, Mohamed Benghebrid, Kerstin Schulte, Ralf Meinck, Jens Volkmann, Karl Georg Haeusler, Peter U. Heuschmann
Summary: This study identified factors associated with stroke patients requiring family caregiving 3 months after stroke, indicating that older age of patients, diabetes, and lower Barthel Index were related to a higher probability of needing family caregiving. The majority of family caregivers believed that caring for their relatives was important, but also experienced burden.
