Dados do Trabalho

Título

Teleneurology care in acute cerebrovascular disease.

Resumo

Introduction
Stroke treatment is extremely effective, but its benefit is time-dependent, making it challenging to achieve the goals established by the guidelines. The neurologist participation is essential for the best clinical decision and teleneurology has been used to increase the access of these cases to specialized management.
Objective
Demonstrate the results of a private teleneurology network.
Methods
We evaluated patients admitted to the database from January 2021 to April 2022 from a private network of hospitals located in 2 Brazilian states(SP and RJ), totaling 15 hospitals that use teleneurology.
Several interventions were carried out to improve the indicators in previous years, such as: continuous training, monthly meetings, managed protocol.
The KPI evaluated were: Median door-to-image time (mPI); median door-to-needle (mPA); venous thrombolysis rate (txTV), mortality rate (tx mort) and median length of stay (mTI).
RESULTS:
A total of 2081 patients were admitted during the study period, with mPI=24min; mPA=68min; txTV=15%; txmort=7%; mTI=4 days.
CONCLUSION:
About 4000 patients are included in the database annually, and approximately 1800 patients with a stroke diagnosis confirmed. Telemedicine provides access to vascular neurology expertise for hospitals without it, and its use has increased rapidly in recent years. Access to such technology demonstrates an improvement in the KPIs of the acute phase of stroke. The results founded are congruent with previous studies, showing that teleneurology in a private network is an important support and measures of continuous improvement of the process are fundamental.

Palavras Chave

Teleneurology; Telestroke;Stroke;