Telemedicine physician providers: Augmented acute stroke care delivery in rural Texas: An initial experience

John Y. Choi, Anne Alexandrov, Robert T. Cale, Peter Gergen, Joseph Degioanni, James C. Grotta

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

We describe the first report of intravenous thrombolytic therapy for acute ischemic stroke given by a rurally based advanced practice nurse (APN) with a telemedicine team of an emergency physician and stroke specialists. A three-way T1 connection between the APN in Dickerson Memorial Hospital in Jasper, TX, the Houston, TX-based Emtel emergency physician, and the University of Texas-Houston Stroke Team physicians facilitated tissue plasminogen activator treatment 80 min into the patient's ischemic stroke, which was manifested by dysarthria, facial palsy, and near-total left-body hemiplegia (NIH Stroke Scale = 9). She was transferred to Memorial Hermann Hospital in Houston for further care. Within 24 h, her neurologic deficits resolved (NIH Stroke Scale = 0), and she was discharged home within 3 days. This represents successful acute stroke care given by an APN under supervision of a telemedicine physician team and may be an option for underserved areas. Educational training of health care providers remains the key for acute stroke care delivery. This case report illustrates a model for telemedicine that has been cost-effective for rural medical care.

Original languageEnglish (US)
JournalTelemedicine Journal and e-Health
Volume10
Issue numberSUPPL. 2
StatePublished - Dec 13 2004

Fingerprint

Telemedicine
Stroke
Physicians
Nurses
Emergencies
Dysarthria
Hemiplegia
Facial Paralysis
Thrombolytic Therapy
Tissue Plasminogen Activator
Neurologic Manifestations
Health Personnel
Costs and Cost Analysis

All Science Journal Classification (ASJC) codes

  • Health Informatics
  • Health Information Management

Cite this

Telemedicine physician providers : Augmented acute stroke care delivery in rural Texas: An initial experience. / Choi, John Y.; Alexandrov, Anne; Cale, Robert T.; Gergen, Peter; Degioanni, Joseph; Grotta, James C.

In: Telemedicine Journal and e-Health, Vol. 10, No. SUPPL. 2, 13.12.2004.

Research output: Contribution to journalArticle

Choi, John Y. ; Alexandrov, Anne ; Cale, Robert T. ; Gergen, Peter ; Degioanni, Joseph ; Grotta, James C. / Telemedicine physician providers : Augmented acute stroke care delivery in rural Texas: An initial experience. In: Telemedicine Journal and e-Health. 2004 ; Vol. 10, No. SUPPL. 2.
@article{3eabc30563c84e0f8b776e20d72f38b7,
title = "Telemedicine physician providers: Augmented acute stroke care delivery in rural Texas: An initial experience",
abstract = "We describe the first report of intravenous thrombolytic therapy for acute ischemic stroke given by a rurally based advanced practice nurse (APN) with a telemedicine team of an emergency physician and stroke specialists. A three-way T1 connection between the APN in Dickerson Memorial Hospital in Jasper, TX, the Houston, TX-based Emtel emergency physician, and the University of Texas-Houston Stroke Team physicians facilitated tissue plasminogen activator treatment 80 min into the patient's ischemic stroke, which was manifested by dysarthria, facial palsy, and near-total left-body hemiplegia (NIH Stroke Scale = 9). She was transferred to Memorial Hermann Hospital in Houston for further care. Within 24 h, her neurologic deficits resolved (NIH Stroke Scale = 0), and she was discharged home within 3 days. This represents successful acute stroke care given by an APN under supervision of a telemedicine physician team and may be an option for underserved areas. Educational training of health care providers remains the key for acute stroke care delivery. This case report illustrates a model for telemedicine that has been cost-effective for rural medical care.",
author = "Choi, {John Y.} and Anne Alexandrov and Cale, {Robert T.} and Peter Gergen and Joseph Degioanni and Grotta, {James C.}",
year = "2004",
month = "12",
day = "13",
language = "English (US)",
volume = "10",
journal = "Telemedicine Journal and e-Health",
issn = "1530-5627",
publisher = "Mary Ann Liebert Inc.",
number = "SUPPL. 2",

}

TY - JOUR

T1 - Telemedicine physician providers

T2 - Augmented acute stroke care delivery in rural Texas: An initial experience

AU - Choi, John Y.

AU - Alexandrov, Anne

AU - Cale, Robert T.

AU - Gergen, Peter

AU - Degioanni, Joseph

AU - Grotta, James C.

PY - 2004/12/13

Y1 - 2004/12/13

N2 - We describe the first report of intravenous thrombolytic therapy for acute ischemic stroke given by a rurally based advanced practice nurse (APN) with a telemedicine team of an emergency physician and stroke specialists. A three-way T1 connection between the APN in Dickerson Memorial Hospital in Jasper, TX, the Houston, TX-based Emtel emergency physician, and the University of Texas-Houston Stroke Team physicians facilitated tissue plasminogen activator treatment 80 min into the patient's ischemic stroke, which was manifested by dysarthria, facial palsy, and near-total left-body hemiplegia (NIH Stroke Scale = 9). She was transferred to Memorial Hermann Hospital in Houston for further care. Within 24 h, her neurologic deficits resolved (NIH Stroke Scale = 0), and she was discharged home within 3 days. This represents successful acute stroke care given by an APN under supervision of a telemedicine physician team and may be an option for underserved areas. Educational training of health care providers remains the key for acute stroke care delivery. This case report illustrates a model for telemedicine that has been cost-effective for rural medical care.

AB - We describe the first report of intravenous thrombolytic therapy for acute ischemic stroke given by a rurally based advanced practice nurse (APN) with a telemedicine team of an emergency physician and stroke specialists. A three-way T1 connection between the APN in Dickerson Memorial Hospital in Jasper, TX, the Houston, TX-based Emtel emergency physician, and the University of Texas-Houston Stroke Team physicians facilitated tissue plasminogen activator treatment 80 min into the patient's ischemic stroke, which was manifested by dysarthria, facial palsy, and near-total left-body hemiplegia (NIH Stroke Scale = 9). She was transferred to Memorial Hermann Hospital in Houston for further care. Within 24 h, her neurologic deficits resolved (NIH Stroke Scale = 0), and she was discharged home within 3 days. This represents successful acute stroke care given by an APN under supervision of a telemedicine physician team and may be an option for underserved areas. Educational training of health care providers remains the key for acute stroke care delivery. This case report illustrates a model for telemedicine that has been cost-effective for rural medical care.

UR - http://www.scopus.com/inward/record.url?scp=9644290718&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=9644290718&partnerID=8YFLogxK

M3 - Article

C2 - 23570219

AN - SCOPUS:9644290718

VL - 10

JO - Telemedicine Journal and e-Health

JF - Telemedicine Journal and e-Health

SN - 1530-5627

IS - SUPPL. 2

ER -