Telestroke and Timely Treatment and Outcomes in Patients With Acute Ischemic Stroke
In this cohort study of patients with acute ischemic stroke potentially eligible for thrombolysis, those evaluated by telestroke had a 61% higher odds of receiving thrombolysis but a 44% lower odds of meeting guideline-concordant DTN times within 60 minutes and prolonged DIDO times compared with those not evaluated by telestroke. Future research should investigate modifiable factors that contribute to treatment delays in patients with ischemic stroke evaluated via telestroke.
Authors
- Brian J. Stamm (ORCID: https://orcid.org/0000-0002-0862-9650)
- Regina Royan (ORCID: https://orcid.org/0000-0002-2645-5412)
- Rebecca Ferber
- Wan-Ling Hsu
- Mathew J. Reeves (ORCID: https://orcid.org/0000-0002-8019-6343)
- Kevin Navin Sheth (ORCID: https://orcid.org/0000-0003-2003-5473)
- Nikita Chhabra
- Phillip Scott (ORCID: https://orcid.org/0000-0001-8732-0653)
- Mollie McDermott (ORCID: https://orcid.org/0000-0002-0474-4299)
- Ghada Ibrahim (ORCID: https://orcid.org/0009-0008-3578-6986)
- Adrienne Nickles (ORCID: https://orcid.org/0000-0003-3873-2103)
- Wen Ye (ORCID: https://orcid.org/0000-0001-5802-189X)
- Deborah A. Levine (ORCID: https://orcid.org/0000-0002-6864-8001)
- Rodney A. Hayward
- Rachael T. Whitney
Institutions
- Michigan Department of Health and Human Services (US)
- University of Michigan (US)
- Yale University (US)
- VA Ann Arbor Healthcare System (US)
- Geriatric Research Education and Clinical Center (US)
- VA Center for Clinical Management Research (US)
- Michigan State University (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-09-26
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.34275
- Citations
- 2
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 2.71
Funders
- U.S. Department of Health and Human Services
- Northwestern University
- University of Michigan
- Michigan Department of Health and Human Services
- National Institutes of Health
- Centers for Disease Control and Prevention