Adelaide & Meath Hospital, Tallaght, Dublin, Ireland

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Presentation transcript:

Adelaide & Meath Hospital, Tallaght, Dublin, Ireland PATTERNS OF ACTIVITY AND RELIABILITY OF AN ACUTE STROKE TELEMEDICINE SERVICE –DUBLIN MIDLEINSTER STROKE NETWORK PARTNERSHIP J Soh, C Offiah, T Coughlan, P O Brien, DJH McCabe, S Murphy, J McManus, D O’Neill, DR Collins Adelaide & Meath Hospital, Tallaght, Dublin, Ireland Introduction: Telemedicine can facilitate acute ischemic stroke treatment by immediate stroke-expert consultation particularly ‘out of hours’. The Dublin MidLeinster (DML) Stroke Network Partnership initiated a new telemedicine service (RP-7 InTouch Health) in 2010 with the aim of improving the delivery of acute stroke thrombolysis across a network of 3 regional stroke centers serving 760,000 people. Picture Methods: Prospective data analysis on 157 consecutive patients who were assessed for acute stroke thrombolysis using the on-line consultation entry (Stroke Respond-In Touch Health) 3 acute hospital sites. Secondary analysis of system reliability and patient / carer acceptability using a post consultation on-line proforma Results: 157 complete telemedicine consultations using RP-7 system (InTouch Health). Mean age: 66 years (range 19 - 91) Female: male ratio =1:1 Mean time from symptom onset to presentation =107 minutes. 49.7% thrombolysed Chart / Graph / Picture 90.4% patients presented to ED outside normal working hours (n=141) Post-consultation reliability proforma: Successful log-in = 99.1% Difficult log-in in 5.6 % consultations 22.4% reported loss of signal during consultations All patients / carers agreed that telemedicine was acceptable form of consultation 99.1% patients/carers reported that the consulting physician was easily understood and seen. 90.4% of patients presented to ED out of normal working hours including weekends (n=141) Conclusions: Telemedicine assessments within the DML stroke network partnership were associated with high rates of positive thrombolysis treatment decisions. The RP-7 system was very reliable regarding log- in. All patients and carers found the system acceptable and clear.