Improving Thrombolytic Therapy Treatment Time Using an Integrated Telestroke Program
Mark R. Etherton, MD, PhD
Nguyen-Huynh MN, Klingman JG, Avins AL, Rao VA, Eaton A, Bhopale S, et al. Novel Telestroke Program Improves Thrombolysis for Acute Stroke Across 21 Hospitals of an Integrated Healthcare System. Stroke. 2017
In this entry, I discuss a recent publication by Mai Nguyen-Huynh and colleagues regarding the results of implementation of a novel telestroke program on administration of intravenous alteplase and door-to-needle (DTN) times.
The ability to reduce DTN times and increase administration of alteplase to eligible ischemic stroke patients is extremely clinically relevant given the established relationship between earlier treatment and likelihood of a good outcome. For this reason, there is much interest in identifying approaches that expedite the ED triage of potential acute ischemic stroke patients. In this article, the authors performed a retrospective analysis of various acute stroke quality measures before and after the combined implementation of a modified Helsinki model with a centralized telestroke program in 21 primary stroke centers across Northern California.