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Research Letter
May 26, 2020

Assessment of Telestroke Capacity in US Hospitals

Author Affiliations
  • 1Harvard Medical School, Boston, Massachusetts
  • 2University of Vermont Medical School, Burlington
  • 3Massachusetts General Hospital, Boston
  • 4RAND Corporation, Arlington, Virginia
  • 5Texas Tech Health Science Center, Lubbock
  • 6Beth Israel Deaconess Medical Center, Boston, Massachusetts
JAMA Neurol. 2020;77(8):1035-1037. doi:10.1001/jamaneurol.2020.1274

Reperfusion via intravenous alteplase or mechanical thrombectomy reduces the damage of an acute ischemic stroke, but these treatments must be administered within a narrow time frame after onset of symptoms and not all patients can safely receive reperfusion. Larger hospitals typically have on-call stroke teams that quickly assess patients with suspected stroke; patients receiving care at hospitals without this expertise may be less likely to receive appropriate treatment.1 Telestroke has emerged as a potential solution by which remote stroke experts guide local emergency physicians through the neurological examination, review of imaging, and management decisions.1

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