Sverdlovsk telestroke network

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Telemedicine becomes a solution to the dilemma of routing and availability of highly qualified staff. Fitting into the long chain of events of the patient's path, telemedicine performs an integrative role that makes it possible to control all phases of care of stroke patients. Sverdlovsk Telestroke Network is organized according to a hub-and-spokes model and consists of one telestroke center and 27 telestroke units. To demonstrate the role of the telestroke network in the healthcare system for stroke patients, a correlation analysis between the number of telemedical consultations and the key indicators of the organization of stroke care was performed. During the period from 2010 to 2021 the specialists of the telestroke center provided 41207 teleconsultations. It was found a strong correlation between the number of telemedicine consultations and the number of stroke cases (r=0,84 (0,51; 0,95) and p=0,001), which shows the demand and sustainability of telestroke network. A strong inverse correlation was found between the number of telemedicine consultations and stroke hospital mortality, r= -0,73 (-0,92; -0,26) and p=0,008. The correlations between the number of teleconsultations and the key indicators of the organization of stroke care demonstrate the systemic role of the telestroke network in the stroke healthcare system in Sverdlovsk region.

Keywords: telestroke network, telestroke, telemedicine, stroke, healthcare organization, Sverdlovsk region