Abstract
For over two decades, telestroke has been utilized as a means for improving acute
access to a stroke specialist when this expertise is otherwise unavailable. During
this time, telestroke use has increased and improvements in care metrics have been
widely reported. Several telestroke model variations are utilized; each has different
workflow implications. A successful telestroke system should include adequate protocols
and training, equipment, documentation system, and tracking of quality metrics. Upfront
costs of needed technology and devices, credentialing hurdles, and limited reimbursement
are all reported barriers to the utilization of telestroke. Emphasis on safety measures
during the COVID-19 pandemic resulted in the dramatic upscaling of telehealth utilization,
although overall stroke volumes declined in many areas in the early phases of the
pandemic. Going forward, continued reduction in cost of required devices and broadband
connections, increased use of automated and advanced analytical software, and a universal
licensing and credentialing system are needed to continue the expansion of telestroke
use.
Keywords
telestroke - alteplase - stroke - technology
