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Telemedizin in der Schlaganfallbehandlung

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Zusammenfassung

Aufgrund der zunehmenden Zahl an zu erwartenden Schlaganfällen und dem Mangel an Expertinnen und Experten (besonders in den ländlichen Regionen) müssen innovative Wege gegangen werden, um eine flächendeckende Versorgung zu gewährleisten. Daher haben sich verschiedene Modelle von Tele-Stroke-Netzwerken in den vergangenen Jahren entwickelt. Einige Ansätze richten ihren Fokus ausschließlich auf die Thrombolyse, andere hingegen auf die Standardisierung der Therapie und effizientere Dienstgestaltung durch einen Zusammenschluss bereits etablierter Stroke Units. Darüber hinaus gibt es Modelle, welche das gesamte Spektrum der Schlaganfalltherapie in ländlichen Krankenhäusern aufbauen, die sogenannten Tele-Stroke Unit-Netzwerke. Solche Netzwerkstrukturen müssen an die geografischen Gegebenheiten und das jeweilige Gesundheitssystem angepasst werden. Am Beispiel des Telemedizinischen Projekts zur integrierten Schlaganfallversorgung (TEMPiS) in Süd-Ost-Bayern wird ein Tele-Stroke Unit-Netzwerk vorgestellt.

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Literatur

  • Agarwal S, Day DJ, Sibson L, Barry PJ, Collas D, Metcalf K, Cotter PE, Guyler P, O’Brien EW, O’Brien A, O’Kane D, Owusu-Agyei P, Phillips P, Shekhar R, Warburton EA (2014) Thrombolysis delivery by a regional telestroke network – experience from the U.K. national health service (The east of England telestroke project). J Am Heart Assoc 3(1):e000408

    Google Scholar 

  • Audebert HJ, Kukla C, Clarmann von Clauranau S, Kühn J, Vatankhah B, Schenkel J, Ickenstein GW, Haberl RL, Horn M, TEMPiS Group (2005) Telemedicine for safe and extended use of thrombolysis in stroke: the Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria. Stroke 36(2):287–291

    Article  Google Scholar 

  • Audebert HJ, Schenkel J, Heuschmann PU, Bogdahn U, Haberl RL, Telemedic Pilot Project for Integrative Stroke Care Group (2006) Effects of the implementation of a telemedical stroke network: the telemedic pilot project for integrative stroke care (TEMPiS) in bavaria. Germany. Lancet Neurol 5(9):742–748

    Article  Google Scholar 

  • Berkhemer OA, Fransen PS, Beumer D, can den Berg LA, Lingsam HF, Yoo AJ, Schonewille WJ, Vos JA, Nederkoom PJ, Wermer MJ, van Walderveen MA, Staals J, Hofmeijer J, van Oostaven JA, Lycklama à Nijeholt GJ, Boiten J, Brouwer PA, Emmer BJ, de Bruijn SF, van Dijk LC, Kappelle LJ, Lo RH, van Dijk EJ, de Vries J, de Kort PL, van Rooij WJ, van den Berg JS, van Hasselt BA, Aerden LA, Dallinga RJ, Visser MC, Bot JC, Vroomen PC, Eshghi O, Schreuder TH, Heijboer RJ, Keizer K, Tielbeek AV, den Hertog HM, Gerrits DG, van den Berg-Vos RM, Karas GB, Steyerberg EW, Flach HZ, Marquering HA, Sprengers ME, Jenniskens SF, Beenen LF, van den Berg R, Koudstaal PJ, van Zwam WH, Roos YB, van der Lugt A, van Oostenbrugge RJ, Majoie CB, Dippel DW, MR CLEAN Investigators (2015) A randomized trial of intraarterial treatment for acute Ischemic stroke. N Engl J Med 372(1):11–20

    Google Scholar 

  • Bodechtel U, Puetz V (2013) Why telestroke networks? Rationale, implementation and results of the Stroke Eastern Saxony Network. J Neural Transm 120(Suppl. 1):43–47

    Article  Google Scholar 

  • Campbell BC, Mitchell PJ, EXTEND-IA Investigators (2015) Endovascular therapy for ischemic stroke with perfusion-imaging selection. N Engl J Med 372(24):1009–1018

    Article  Google Scholar 

  • CAST Collaborative Group (1997) CAST: randomised placebo-controlled trial of early aspirin use in 20,000 patients with acute ischaemic stroke. Lancet 349(9066):1641–1649

    Article  Google Scholar 

  • Emberson J, Lees KR, Lyden P, Blackwell L, Albers G, Bluhmki E, Brott T, Cohen G, Davis S, Donna G, Grotta J, Howard G, Kaste M, Koga M, von Kummer R, Lansberg M, Lindley RI, Murray G, Olivot JM, Parsons M, Tilley B, Toni D, Toyoda K, Wahlgren N, Wardlaw J, Whiteley W, del Zoppo GJ, Baigent C, Sandercook P, Hacke W, Stroke Thrombolysis Trialists Collaborative Group (2014) Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet 384(9958):1929–1935

    Article  Google Scholar 

  • Goyal M, Demchuk AM, Menon BK, Eesa M, Rempel JL, Thornton J, Roy D, Jovin TG, Willinsky RA, Sapkota BL, Dowlatshahi D, Frei DF, Kamal NR, Montanera WJ, Poppe AY, Ryckborst KJ, Silver FL, Shuaib A, Tampieri D, Williams D, Bang OY, Baxter BW, Burns PA, Choe H, Heo JH, Holmstedt CA, Jankowitz B, Kelly M, Lineras G, Mandzia JL, Shankar J, Sohn SI, Swartz RH, Barber PA, Coutts SB, Smith EE, Morrish WF, Weill A, Subramaniam S, Mitha AP, Wong JH, Lowerison MW, Sajobi TT, Hill MD, ESCAPE Trial Investigators (2015) Randomized assessment of rapid endovascular treatment of ischemic stroke. N Engl J Med 372(11):1019–1030

    Article  Google Scholar 

  • Handschu R, Scibor M, Willaczek B, Nückel M, Heckmann JG, Asshoff D, Belohlavek D, Erbguth F, Schwab S, STENO Project (2008) Telemedicine in acute stroke: remote video-examination compared to simple telephone consultation. J Neurol 255(11):1792–1797

    Article  Google Scholar 

  • Heuschmann PU, Busse O, Wagner M, Endres M, Villringer A, Röther J, Kolominsky-Rabas PL, Berger K (2010) Schlaganfallhäufigkeit und Versorgung von Schlaganfallpatienten in Deutschland. Akt Neurol 37:333–340

    Article  Google Scholar 

  • International Stroke Trial Collaborative Group (1997) The International Stroke Trial (IST): a randomised trial of aspirin, subcutaneous heparin, both, or neither among 19435 patients with acute ischaemic stroke. Lancet 349(9065):1569–1581

    Google Scholar 

  • Jovin TG, Chamorro A, Cobo E, de Miguel MA, Molina CA, Rovira A, San Román L, Serena J, Abilleira S, Ribó M, Millán M, Urra X, Cardona P, López-Cancio E, Tomasello A, CastanaREVASCAT Trial Investigators (2015) Thrombectomy within 8 hours after symptom onset in ischemic stroke. N Engl J Med 372(24):2296–2306

    Article  Google Scholar 

  • Khan K, Shuaib A, Whittaker T, Saggur M, Jeerakathil T, Butcher K, Crumley P (2010) Telestroke in Northern Alberta: a two year experience with remote hospitals. Can J Neurol Sci 37(6):808–813

    Google Scholar 

  • Lees KR, Bluhmki E, von Kummer R, Brott TG, Toni D, Grotta JC, Albers GW, Kaste M, Marler JR, Hamilton SA, Tilley BC, Davis SM, Donnan GA, Hacke W, ECASS, ATLANTIS, NINDS and EPITHET rt-PA Study Group, Allen K, Mau J, Meier D, del Zoppo G, De Silva DA, Butcher KS, Parsons MW, Barber PA, Levi C, Bladin C, Byrnes G (2010) Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS and EPITHET trials. Lancet 375(9727):1695–1703

    Google Scholar 

  • Levine SR, Gorman M (1999) „Telestroke“: the application of telemedicine for stroke. Stroke 30(2):464–469

    Article  Google Scholar 

  • Meretoja A, Keshtkaran M, Saver JL, Tatlisumak T, Parsons MW, Kaste M, Davis SM, Donnan GA, Churilov L (2014) Stroke thrombolysis: save a minute, save a day. Stroke 45(4):1053–1058

    Article  Google Scholar 

  • Müller-Barna P, Schwamm LH, Haberl RL (2012) Telestroke increases use of acute stroke therapy. Curr Opin Neurol 25(1):5–10

    Article  Google Scholar 

  • Müller-Barna P, Hubert GJ, Boy S, Bogdahn U, Wiedmann S, Heuschmann PU, Audebert HJ (2014) TeleStroke Units Serving as a Model of Care in Rural Areas. 10-Year Experience of the TeleMedical Project for Integrative Stroke Care. Stroke 45(9):2739–2744

    Article  Google Scholar 

  • Müller-Barna P, Boy S, Hubert G, Haberl RL (2015) Convincing quality of acute stroke care in TeleStroke Units. Eur Res Telemed 4:53-61

    Google Scholar 

  • RKI (2015) Gesundheit in Deutschland. Robert Koch-Institut, Berlin

    Google Scholar 

  • Saver J (2006) Time is Brain – Quantified. Stroke 37(1):263–266

    Article  Google Scholar 

  • Saver J, Goyal M, Bonafe A, Diener HC, Levy EI, Pereira VM, Albers GW, Cognard C, Cohen DJ, Hacke W, Jansen O, Jovin TG, Mattle HP, Nogueira RG, Siddiqui AH, Yavagal DR, Baxter BW, Devlin TG, Lopes DK, Reddy VK, Reddy VK, du Mesnil de Rochemont R, Singer OC, Jahan R, SWIFT PRIME Investigators (2015) Stent-retriever thrombectomy after intravenous 56t-PA vs. t-PA alone in stroke. N Engl J Med 372(24):2285–2295

    Article  Google Scholar 

  • Silva GS, Farrell S, Shandra E, Viswanathan A, Schwamm LH (2012) The status of telestroke in the United States: a survey of currently active stroke telemedicine programs. Stroke 43(8):2078–2085

    Article  Google Scholar 

  • Stroke Unit Trialists’ Collaboration (2013) Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev 11(9):CD000197

    Google Scholar 

  • Vahedi K, Hofmeijer J, Juettler E, Vicaut E, George B, Algra A, Amelink GJ, Schmiedeck P, Schwab S, Rothwell PM, Bousser MG, van der Worp HB, Hacke W (2007) Early decompressive surgery in malignant infarction of the middle cerebral artery: a pooled analysis of three randomized controlled trials. Lancet Neurol 6(3):215–222

    Article  Google Scholar 

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Authors and Affiliations

  1. Klinikum München-Herlaching, Abteilung für Neurologie und Neurologische Intensivmedizin, Sanatoriumsplatz 2, 81545, München, Deutschland

    Nicolas Völkel, Frank Kraus, Roman L. Haberl & Gordian J. Hubert

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  1. Nicolas Völkel
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  2. Frank Kraus
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  3. Roman L. Haberl
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  4. Gordian J. Hubert
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Correspondence to Gordian J. Hubert .

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Editors and Affiliations

  1. Grundlagen Universität Bielefeld, AG Bevölkerungsmedizin u biomedizinische Grundlagen Universität Bielefeld, Bielefeld, Germany

    Florian Fischer

  2. AG Bevölkerungsmedizin u biomedizinische, AG Bevölkerungsmedizin u biomedizinische Grundlagen Universität Bielefeld, Bielefeld, Nordrhein-Westfalen, Germany

    Alexander Krämer

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Völkel, N., Kraus, F., Haberl, R.L., Hubert, G.J. (2016). Telemedizin in der Schlaganfallbehandlung. In: Fischer, F., Krämer, A. (eds) eHealth in Deutschland. Springer Vieweg, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49504-9_18

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  • DOI: https://doi.org/10.1007/978-3-662-49504-9_18

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  • Publisher Name: Springer Vieweg, Berlin, Heidelberg

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  • Online ISBN: 978-3-662-49504-9

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