TELESTROKE IN LATIUM ITALY THE RESULTS OF THE FIRST 2 YEARS EXPERIENCE

Download or read online book entitled TELESTROKE IN LATIUM ITALY THE RESULTS OF THE FIRST 2 YEARS EXPERIENCE written by angela risitano and published by Anonim. This book was released on 28 September 2021 with total page 123 pages. Available in PDF, EPUB and Kindle. Get best books that you want by click Get Book Button and Read as many books as you like. Book Excerpt : Background and Aims:According to 2018 AHA Guidelines, the use of Telestroke should be supported by healthcare institutions to ensure adequate 24/7 care of acute stroke patients.The Latium Region, a large Italian region around Rome, is divided in 4 areas for Stroke management. Our Stroke Unit (SU - Policlinico Umberto I) serves as Hub reference for the northeast region. Since 2016, 2 hospitals (Tivoli and Palestrina) are connected with our SU through Telemedicine system (video teleconference and DICOM image transfer). We present the first experience of Latium Telestroke.Methods:From October 2016 to December 2018, 40 patients have been evaluated in Telestroke (31 from Tivoli, 9 from Palestrina).Results:Median age was 76.5 years. Twenty-five patients were women (sex ratio 0.62). EV thrombolysis has been performed in 22 patients (55%). In 4 cases, the treatment has been completed with thrombectomy once arrived in Hub. Four patients have been treated with thrombolysis and thrombectomy after transfer in Hub. Reasons for non indicating tele-thrombolysis were: time window over (17%), contraindications to rt-PA (12.5%), stroke mimic (7%), TIA (7%). Median baseline NIHSS was 14.7. modified Rankin Scale 0-2 was obtained in 49% of patients at 3 months. We do not observed symptomatic hemorrhagic transformation. Median Door To Needle Time was 137 minutes, Door In Door Out Time 171.3 minutes.Conclusions:In spite of temporal indicators, these results are promising: - we observed an increasing number of calls from Spoke Hospitals, and we obtained good results in terms of efficacy and safety after EV thrombolysis in Telestroke setting.