{"id":321536,"date":"2021-03-01T11:00:26","date_gmt":"2021-03-01T16:00:26","guid":{"rendered":"https:\/\/news.harvard.edu\/gazette\/?p=321536"},"modified":"2023-11-08T20:07:18","modified_gmt":"2023-11-09T01:07:18","slug":"telemedicine-for-stroke-improves-patient-outcomes-saves-lives","status":"publish","type":"post","link":"https:\/\/news.harvard.edu\/gazette\/story\/2021\/03\/telemedicine-for-stroke-improves-patient-outcomes-saves-lives\/","title":{"rendered":"Telemedicine for stroke patients improves outcomes"},"content":{"rendered":"<header\n\tclass=\"wp-block-harvard-gazette-article-header alignfull article-header is-style-full-width-text-below centered-image\"\n\tstyle=\" \"\n>\n\t<figure class=\"wp-block-image\"><img fetchpriority=\"high\" decoding=\"async\" alt=\"Male doctor in white coat hand holding and using modern digital tablet.\" height=\"1667\" loading=\"eager\" src=\"https:\/\/news.harvard.edu\/gazette\/wp-content\/uploads\/2021\/03\/iStock-1253629775.jpg\" width=\"2500\"\/><figcaption class=\"wp-element-caption\"><p class=\"wp-element-caption--credit\">iStock<\/p><\/figcaption><\/figure>\n\n\t<div class=\"article-header__content\">\n\t\t\t<a\n\t\t\tclass=\"article-header__category\"\n\t\t\thref=\"https:\/\/news.harvard.edu\/gazette\/section\/science-technology\/\"\n\t\t>\n\t\t\tScience &amp; Tech\t\t<\/a>\n\t\t\n\t\t<h1 class=\"article-header__title wp-block-heading \">\n\t\tTelemedicine for stroke patients improves outcomes\t<\/h1>\n\n\t\n\t\t\t<\/div>\n\t\t\n\t<div class=\"article-header__meta\">\n\t\t<div class=\"wp-block-post-author\">\n\t\t\t<address class=\"wp-block-post-author__content\">\n\t\t\t\t\t<p class=\"author wp-block-post-author__name\">\n\t\tJake Miller\t<\/p>\n\t\t\t<p class=\"wp-block-post-author__byline\">\n\t\t\tHMS Communications\t\t<\/p>\n\t\t\t\t\t<\/address>\n\t\t<\/div>\n\n\t\t<time class=\"article-header__date\" datetime=\"2021-03-01\">\n\t\t\tMarch 1, 2021\t\t<\/time>\n\n\t\t<span class=\"article-header__reading-time\">\n\t\t\t3 min read\t\t<\/span>\n\t<\/div>\n\n\t\n\t\t\t<h2 class=\"article-header__subheading wp-block-heading\">\n\t\t\tPatients at hospitals with telestroke consults got better care, more likely to survive\t\t<\/h2>\n\t\t\n<\/header>\n\n\n\n<div class=\"wp-block-group alignwide has-global-padding is-content-justification-center is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\t\t<p>Patients who go to the hospital with symptoms suggestive of a stroke need rapid expert assessment and treatment to halt brain damage, which could mean the difference between life and death. Yet many hospitals do not have round-the-clock stroke care teams. To make up for this deficiency, many U.S. hospitals offer telemedicine consults with stroke specialists who may be located hundreds of miles away.<\/p>\n<p>A newly published study shows that individuals who receive stroke care at facilities that offer consults via stroke telemedicine, known as telestroke, fare better than patients who get stroke care at places without such services, according to researchers in the Blavatnik Institute at Harvard Medical School and colleagues.<\/p>\n<p>The study, published online March 1 in\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/10.1001\/jamaneurol.2021.0023?utm_campaign=articlePDF%26utm_medium=articlePDFlink%26utm_source=articlePDF%26utm_content=jamaneurol.2021.0023\">JAMA Neurology<\/a>, represents the first national analysis of telestroke patient outcomes. It shows that those who get care at hospitals that offer telemedicine for stroke assessment receive superior care and are more likely to survive strokes than patients who went to similar hospitals without telestroke services.<\/p>\n<p>The telestroke services evaluated in this study allow hospitals without local expertise in treating stroke to connect patients to neurologists who specialize in treating stroke. Using video, off-site experts can virtually examine an individual with symptoms suggestive of stroke, review radiology tests, and make recommendations about the best course of treatment.<\/p>\n<p>The use of remote stroke assessments is becoming more widespread. Telestroke is now in use in almost one third of U.S. hospitals, but evaluations of its impact across a broad range of hospitals has been limited.<\/p>\n<p>\u201cOur findings provide important evidence that telestroke improves care and can save lives,\u201d said study senior author\u00a0<a href=\"https:\/\/hcp.hms.harvard.edu\/people\/ateev-mehrotra\">Ateev Mehrotra<\/a>, associate professor of health care policy and of medicine at HMS and a hospitalist at Beth Israel Deaconess Medical Center.<\/p>\n<p>For the study, the researchers compared outcomes and 30-day survival among 150,000 patients with stroke treated at more than 1,200 U.S. hospitals, half of which offered telestroke consults and half of which didn\u2019t.<\/p>\n\r\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>\u201cOur findings provide important evidence that telestroke improves care and can save lives.\u201d <\/p>\n<cite>Ateev Mehrotra, Harvard Medical School<\/cite><\/blockquote>\r\n\n<p>One outcome the study looked at was whether patients received reperfusion treatment, which restores blood flow to regions of the brain affected by the stroke before irreparable damage occurs.<\/p>\n<p>Compared with patients who received care at non-telestroke hospitals, patients who received care at telestroke hospitals had relative rates of reperfusion treatment that were 13 percent higher and relative rates of 30-day mortality that were 4 percent lower. The researchers saw the largest positive benefits at hospitals with the lowest patient volume and hospitals in rural areas.<\/p>\n<p>\u201cThe benefits from telestroke appear to be the greatest at small rural hospitals \u2014 the very facilities that were also the least likely to have telestroke capacity,\u201d said first author Andrew Wilcock, assistant professor at the University of Vermont Larner College of Medicine and a visiting fellow in health care policy at HMS. \u201cThese findings emphasize the need to address the financial barriers these smaller hospitals face in introducing telestroke.\u201d<\/p>\n<p>Co-authors include Jessica Richard from HMS; Lee Schwamm and Kori Zachrison from HMS and Massachusetts General Hospital; Jose Zubizarreta, from HMS, the Harvard T.H. Chan School of Public Health, and Harvard University; and Lori-Uscher-Pines from the RAND Corp.<\/p>\n<p><em>This research was supported by the National Institute of Neurological Disorders and Stroke (grant R01NS111952). DOI: 10.1001\/jamaneurol.2021.0023<\/em><\/p>\n<p><em>\u00a0<\/em><\/p>\n\n\n<\/div>\n\n\t\t","protected":false},"excerpt":{"rendered":"<p>The first national analysis shows patients at hospitals that offer remote stroke consults fare and were more likely to survive than patients who presented at hospitals without stroke telecare.<\/p>\n","protected":false},"author":105622744,"featured_media":321649,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"gz_ga_pageviews":194,"gz_ga_lastupdated":"2024-08-15 16:33","document_color_palette":"blue","author":"Jake Miller","affiliation":"HMS Communications","_category_override":"","_yoast_wpseo_primary_category":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1387],"tags":[41731,15922,32457,45965,47712],"gazette-formats":[],"series":[],"class_list":["post-321536","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-science-technology","tag-blavatnik-institute-at-harvard-medical-school","tag-harvard-medical-school","tag-stroke","tag-telemedicine","tag-telestroke"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.0 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Telemedicine for stroke improves patient outcomes, saves lives &#8212; 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Tech\t\t<\/a>\n\t\t\n\t\t<h1 class=\"article-header__title wp-block-heading \">\n\t\tTelemedicine for stroke patients improves outcomes\t<\/h1>\n\n\t\n\t\t\t<\/div>\n\t\t\n\t<div class=\"article-header__meta\">\n\t\t<div class=\"wp-block-post-author\">\n\t\t\t<address class=\"wp-block-post-author__content\">\n\t\t\t\t\t<p class=\"author wp-block-post-author__name\">\n\t\tJake Miller\t<\/p>\n\t\t\t<p class=\"wp-block-post-author__byline\">\n\t\t\tHMS Communications\t\t<\/p>\n\t\t\t\t\t<\/address>\n\t\t<\/div>\n\n\t\t<time class=\"article-header__date\" datetime=\"2021-03-01\">\n\t\t\tMarch 1, 2021\t\t<\/time>\n\n\t\t<span class=\"article-header__reading-time\">\n\t\t\t3 min read\t\t<\/span>\n\t<\/div>\n\n\t\n\t\t\t<h2 class=\"article-header__subheading wp-block-heading\">\n\t\t\tPatients at hospitals with telestroke consults got better care, more likely to survive\t\t<\/h2>\n\t\t\n<\/header>\n"},"2":{"blockName":"core\/group","attrs":{"templateLock":false,"metadata":{"name":"Article content"},"align":"wide","layout":{"type":"constrained","justifyContent":"center"},"tagName":"div","lock":[],"className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","ariaLabel":"","anchor":""},"innerBlocks":[{"blockName":"core\/freeform","attrs":{"content":"","lock":[],"metadata":[]},"innerBlocks":[],"innerHTML":"\n\t\t<p>Patients who go to the hospital with symptoms suggestive of a stroke need rapid expert assessment and treatment to halt brain damage, which could mean the difference between life and death. Yet many hospitals do not have round-the-clock stroke care teams. To make up for this deficiency, many U.S. hospitals offer telemedicine consults with stroke specialists who may be located hundreds of miles away.<\/p>\n<p>A newly published study shows that individuals who receive stroke care at facilities that offer consults via stroke telemedicine, known as telestroke, fare better than patients who get stroke care at places without such services, according to researchers in the Blavatnik Institute at Harvard Medical School and colleagues.<\/p>\n<p>The study, published online March 1 in\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/10.1001\/jamaneurol.2021.0023?utm_campaign=articlePDF%26utm_medium=articlePDFlink%26utm_source=articlePDF%26utm_content=jamaneurol.2021.0023\">JAMA Neurology<\/a>, represents the first national analysis of telestroke patient outcomes. It shows that those who get care at hospitals that offer telemedicine for stroke assessment receive superior care and are more likely to survive strokes than patients who went to similar hospitals without telestroke services.<\/p>\n<p>The telestroke services evaluated in this study allow hospitals without local expertise in treating stroke to connect patients to neurologists who specialize in treating stroke. Using video, off-site experts can virtually examine an individual with symptoms suggestive of stroke, review radiology tests, and make recommendations about the best course of treatment.<\/p>\n<p>The use of remote stroke assessments is becoming more widespread. Telestroke is now in use in almost one third of U.S. hospitals, but evaluations of its impact across a broad range of hospitals has been limited.<\/p>\n<p>\u201cOur findings provide important evidence that telestroke improves care and can save lives,\u201d said study senior author\u00a0<a href=\"https:\/\/hcp.hms.harvard.edu\/people\/ateev-mehrotra\">Ateev Mehrotra<\/a>, associate professor of health care policy and of medicine at HMS and a hospitalist at Beth Israel Deaconess Medical Center.<\/p>\n<p>For the study, the researchers compared outcomes and 30-day survival among 150,000 patients with stroke treated at more than 1,200 U.S. hospitals, half of which offered telestroke consults and half of which didn\u2019t.<\/p>\n","innerContent":["\n\t\t<p>Patients who go to the hospital with symptoms suggestive of a stroke need rapid expert assessment and treatment to halt brain damage, which could mean the difference between life and death. Yet many hospitals do not have round-the-clock stroke care teams. To make up for this deficiency, many U.S. hospitals offer telemedicine consults with stroke specialists who may be located hundreds of miles away.<\/p>\n<p>A newly published study shows that individuals who receive stroke care at facilities that offer consults via stroke telemedicine, known as telestroke, fare better than patients who get stroke care at places without such services, according to researchers in the Blavatnik Institute at Harvard Medical School and colleagues.<\/p>\n<p>The study, published online March 1 in\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/10.1001\/jamaneurol.2021.0023?utm_campaign=articlePDF%26utm_medium=articlePDFlink%26utm_source=articlePDF%26utm_content=jamaneurol.2021.0023\">JAMA Neurology<\/a>, represents the first national analysis of telestroke patient outcomes. It shows that those who get care at hospitals that offer telemedicine for stroke assessment receive superior care and are more likely to survive strokes than patients who went to similar hospitals without telestroke services.<\/p>\n<p>The telestroke services evaluated in this study allow hospitals without local expertise in treating stroke to connect patients to neurologists who specialize in treating stroke. Using video, off-site experts can virtually examine an individual with symptoms suggestive of stroke, review radiology tests, and make recommendations about the best course of treatment.<\/p>\n<p>The use of remote stroke assessments is becoming more widespread. Telestroke is now in use in almost one third of U.S. hospitals, but evaluations of its impact across a broad range of hospitals has been limited.<\/p>\n<p>\u201cOur findings provide important evidence that telestroke improves care and can save lives,\u201d said study senior author\u00a0<a href=\"https:\/\/hcp.hms.harvard.edu\/people\/ateev-mehrotra\">Ateev Mehrotra<\/a>, associate professor of health care policy and of medicine at HMS and a hospitalist at Beth Israel Deaconess Medical Center.<\/p>\n<p>For the study, the researchers compared outcomes and 30-day survival among 150,000 patients with stroke treated at more than 1,200 U.S. hospitals, half of which offered telestroke consults and half of which didn\u2019t.<\/p>\n"],"rendered":"\n\t\t<p>Patients who go to the hospital with symptoms suggestive of a stroke need rapid expert assessment and treatment to halt brain damage, which could mean the difference between life and death. Yet many hospitals do not have round-the-clock stroke care teams. To make up for this deficiency, many U.S. hospitals offer telemedicine consults with stroke specialists who may be located hundreds of miles away.<\/p>\n<p>A newly published study shows that individuals who receive stroke care at facilities that offer consults via stroke telemedicine, known as telestroke, fare better than patients who get stroke care at places without such services, according to researchers in the Blavatnik Institute at Harvard Medical School and colleagues.<\/p>\n<p>The study, published online March 1 in\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/10.1001\/jamaneurol.2021.0023?utm_campaign=articlePDF%26utm_medium=articlePDFlink%26utm_source=articlePDF%26utm_content=jamaneurol.2021.0023\">JAMA Neurology<\/a>, represents the first national analysis of telestroke patient outcomes. It shows that those who get care at hospitals that offer telemedicine for stroke assessment receive superior care and are more likely to survive strokes than patients who went to similar hospitals without telestroke services.<\/p>\n<p>The telestroke services evaluated in this study allow hospitals without local expertise in treating stroke to connect patients to neurologists who specialize in treating stroke. Using video, off-site experts can virtually examine an individual with symptoms suggestive of stroke, review radiology tests, and make recommendations about the best course of treatment.<\/p>\n<p>The use of remote stroke assessments is becoming more widespread. Telestroke is now in use in almost one third of U.S. hospitals, but evaluations of its impact across a broad range of hospitals has been limited.<\/p>\n<p>\u201cOur findings provide important evidence that telestroke improves care and can save lives,\u201d said study senior author\u00a0<a href=\"https:\/\/hcp.hms.harvard.edu\/people\/ateev-mehrotra\">Ateev Mehrotra<\/a>, associate professor of health care policy and of medicine at HMS and a hospitalist at Beth Israel Deaconess Medical Center.<\/p>\n<p>For the study, the researchers compared outcomes and 30-day survival among 150,000 patients with stroke treated at more than 1,200 U.S. hospitals, half of which offered telestroke consults and half of which didn\u2019t.<\/p>\n"},{"blockName":"core\/quote","attrs":{"value":"<cite>Ateev Mehrotra, Harvard Medical School<\/cite>","citation":"Ateev Mehrotra, Harvard Medical School","textAlign":"","lock":[],"metadata":[],"align":"","className":"","style":[],"backgroundColor":"","textColor":"","gradient":"","fontSize":"","fontFamily":"","borderColor":"","layout":[],"anchor":""},"innerBlocks":[{"blockName":"core\/freeform","attrs":{"content":"","lock":[],"metadata":[]},"innerBlocks":[],"innerHTML":"<p>\u201cOur findings provide important evidence that telestroke improves care and can save lives.\u201d <\/p>\n","innerContent":["<p>\u201cOur findings provide important evidence that telestroke improves care and can save lives.\u201d <\/p>\n"],"rendered":"<p>\u201cOur findings provide important evidence that telestroke improves care and can save lives.\u201d <\/p>\n"}],"innerHTML":"<blockquote class=\"wp-block-quote\"><cite>Ateev Mehrotra, Harvard Medical School<\/cite><\/blockquote>","innerContent":["<blockquote class=\"wp-block-quote\">","<cite>Ateev Mehrotra, Harvard Medical School<\/cite><\/blockquote>"],"rendered":"<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>\u201cOur findings provide important evidence that telestroke improves care and can save lives.\u201d <\/p>\n<cite>Ateev Mehrotra, Harvard Medical School<\/cite><\/blockquote>"},{"blockName":"core\/freeform","attrs":{"content":"","lock":[],"metadata":[]},"innerBlocks":[],"innerHTML":"\n<p>One outcome the study looked at was whether patients received reperfusion treatment, which restores blood flow to regions of the brain affected by the stroke before irreparable damage occurs.<\/p>\n<p>Compared with patients who received care at non-telestroke hospitals, patients who received care at telestroke hospitals had relative rates of reperfusion treatment that were 13 percent higher and relative rates of 30-day mortality that were 4 percent lower. The researchers saw the largest positive benefits at hospitals with the lowest patient volume and hospitals in rural areas.<\/p>\n<p>\u201cThe benefits from telestroke appear to be the greatest at small rural hospitals \u2014 the very facilities that were also the least likely to have telestroke capacity,\u201d said first author Andrew Wilcock, assistant professor at the University of Vermont Larner College of Medicine and a visiting fellow in health care policy at HMS. \u201cThese findings emphasize the need to address the financial barriers these smaller hospitals face in introducing telestroke.\u201d<\/p>\n<p>Co-authors include Jessica Richard from HMS; Lee Schwamm and Kori Zachrison from HMS and Massachusetts General Hospital; Jose Zubizarreta, from HMS, the Harvard T.H. Chan School of Public Health, and Harvard University; and Lori-Uscher-Pines from the RAND Corp.<\/p>\n<p><em>This research was supported by the National Institute of Neurological Disorders and Stroke (grant R01NS111952). DOI: 10.1001\/jamaneurol.2021.0023<\/em><\/p>\n<p><em>\u00a0<\/em><\/p>\n","innerContent":["\n<p>One outcome the study looked at was whether patients received reperfusion treatment, which restores blood flow to regions of the brain affected by the stroke before irreparable damage occurs.<\/p>\n<p>Compared with patients who received care at non-telestroke hospitals, patients who received care at telestroke hospitals had relative rates of reperfusion treatment that were 13 percent higher and relative rates of 30-day mortality that were 4 percent lower. The researchers saw the largest positive benefits at hospitals with the lowest patient volume and hospitals in rural areas.<\/p>\n<p>\u201cThe benefits from telestroke appear to be the greatest at small rural hospitals \u2014 the very facilities that were also the least likely to have telestroke capacity,\u201d said first author Andrew Wilcock, assistant professor at the University of Vermont Larner College of Medicine and a visiting fellow in health care policy at HMS. \u201cThese findings emphasize the need to address the financial barriers these smaller hospitals face in introducing telestroke.\u201d<\/p>\n<p>Co-authors include Jessica Richard from HMS; Lee Schwamm and Kori Zachrison from HMS and Massachusetts General Hospital; Jose Zubizarreta, from HMS, the Harvard T.H. Chan School of Public Health, and Harvard University; and Lori-Uscher-Pines from the RAND Corp.<\/p>\n<p><em>This research was supported by the National Institute of Neurological Disorders and Stroke (grant R01NS111952). DOI: 10.1001\/jamaneurol.2021.0023<\/em><\/p>\n<p><em>\u00a0<\/em><\/p>\n"],"rendered":"\n<p>One outcome the study looked at was whether patients received reperfusion treatment, which restores blood flow to regions of the brain affected by the stroke before irreparable damage occurs.<\/p>\n<p>Compared with patients who received care at non-telestroke hospitals, patients who received care at telestroke hospitals had relative rates of reperfusion treatment that were 13 percent higher and relative rates of 30-day mortality that were 4 percent lower. The researchers saw the largest positive benefits at hospitals with the lowest patient volume and hospitals in rural areas.<\/p>\n<p>\u201cThe benefits from telestroke appear to be the greatest at small rural hospitals \u2014 the very facilities that were also the least likely to have telestroke capacity,\u201d said first author Andrew Wilcock, assistant professor at the University of Vermont Larner College of Medicine and a visiting fellow in health care policy at HMS. \u201cThese findings emphasize the need to address the financial barriers these smaller hospitals face in introducing telestroke.\u201d<\/p>\n<p>Co-authors include Jessica Richard from HMS; Lee Schwamm and Kori Zachrison from HMS and Massachusetts General Hospital; Jose Zubizarreta, from HMS, the Harvard T.H. Chan School of Public Health, and Harvard University; and Lori-Uscher-Pines from the RAND Corp.<\/p>\n<p><em>This research was supported by the National Institute of Neurological Disorders and Stroke (grant R01NS111952). DOI: 10.1001\/jamaneurol.2021.0023<\/em><\/p>\n<p><em>\u00a0<\/em><\/p>\n"}],"innerHTML":"\n<div class=\"wp-block-group alignwide\">\n\n\r\n\r\n\n\n<\/div>\n","innerContent":["\n<div class=\"wp-block-group alignwide\">\n\n","\r\n","\r\n","\n\n<\/div>\n"],"rendered":"\n<div class=\"wp-block-group alignwide has-global-padding is-content-justification-center is-layout-constrained wp-block-group-is-layout-constrained\">\n\n\n\t\t<p>Patients who go to the hospital with symptoms suggestive of a stroke need rapid expert assessment and treatment to halt brain damage, which could mean the difference between life and death. Yet many hospitals do not have round-the-clock stroke care teams. To make up for this deficiency, many U.S. hospitals offer telemedicine consults with stroke specialists who may be located hundreds of miles away.<\/p>\n<p>A newly published study shows that individuals who receive stroke care at facilities that offer consults via stroke telemedicine, known as telestroke, fare better than patients who get stroke care at places without such services, according to researchers in the Blavatnik Institute at Harvard Medical School and colleagues.<\/p>\n<p>The study, published online March 1 in\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/10.1001\/jamaneurol.2021.0023?utm_campaign=articlePDF%26utm_medium=articlePDFlink%26utm_source=articlePDF%26utm_content=jamaneurol.2021.0023\">JAMA Neurology<\/a>, represents the first national analysis of telestroke patient outcomes. It shows that those who get care at hospitals that offer telemedicine for stroke assessment receive superior care and are more likely to survive strokes than patients who went to similar hospitals without telestroke services.<\/p>\n<p>The telestroke services evaluated in this study allow hospitals without local expertise in treating stroke to connect patients to neurologists who specialize in treating stroke. Using video, off-site experts can virtually examine an individual with symptoms suggestive of stroke, review radiology tests, and make recommendations about the best course of treatment.<\/p>\n<p>The use of remote stroke assessments is becoming more widespread. Telestroke is now in use in almost one third of U.S. hospitals, but evaluations of its impact across a broad range of hospitals has been limited.<\/p>\n<p>\u201cOur findings provide important evidence that telestroke improves care and can save lives,\u201d said study senior author\u00a0<a href=\"https:\/\/hcp.hms.harvard.edu\/people\/ateev-mehrotra\">Ateev Mehrotra<\/a>, associate professor of health care policy and of medicine at HMS and a hospitalist at Beth Israel Deaconess Medical Center.<\/p>\n<p>For the study, the researchers compared outcomes and 30-day survival among 150,000 patients with stroke treated at more than 1,200 U.S. hospitals, half of which offered telestroke consults and half of which didn\u2019t.<\/p>\n\r\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p>\u201cOur findings provide important evidence that telestroke improves care and can save lives.\u201d <\/p>\n<cite>Ateev Mehrotra, Harvard Medical School<\/cite><\/blockquote>\r\n\n<p>One outcome the study looked at was whether patients received reperfusion treatment, which restores blood flow to regions of the brain affected by the stroke before irreparable damage occurs.<\/p>\n<p>Compared with patients who received care at non-telestroke hospitals, patients who received care at telestroke hospitals had relative rates of reperfusion treatment that were 13 percent higher and relative rates of 30-day mortality that were 4 percent lower. The researchers saw the largest positive benefits at hospitals with the lowest patient volume and hospitals in rural areas.<\/p>\n<p>\u201cThe benefits from telestroke appear to be the greatest at small rural hospitals \u2014 the very facilities that were also the least likely to have telestroke capacity,\u201d said first author Andrew Wilcock, assistant professor at the University of Vermont Larner College of Medicine and a visiting fellow in health care policy at HMS. \u201cThese findings emphasize the need to address the financial barriers these smaller hospitals face in introducing telestroke.\u201d<\/p>\n<p>Co-authors include Jessica Richard from HMS; Lee Schwamm and Kori Zachrison from HMS and Massachusetts General Hospital; Jose Zubizarreta, from HMS, the Harvard T.H. Chan School of Public Health, and Harvard University; and Lori-Uscher-Pines from the RAND Corp.<\/p>\n<p><em>This research was supported by the National Institute of Neurological Disorders and Stroke (grant R01NS111952). DOI: 10.1001\/jamaneurol.2021.0023<\/em><\/p>\n<p><em>\u00a0<\/em><\/p>\n\n\n<\/div>\n"}},"jetpack-related-posts":[{"id":328052,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2021\/06\/a-small-chip-under-the-skin-may-predict-second-stroke\/","url_meta":{"origin":321536,"position":0},"title":"Chipping in to detect stroke","author":"Lian Parsons","date":"June 2, 2021","format":false,"excerpt":"A clinical trial found that for certain patients, a small chip under the skin may help predict the likelihood of a second stroke.","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"Doctor looking at brain scans.","src":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2021\/06\/iStock-Stroke-scaled.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2021\/06\/iStock-Stroke-scaled.jpg?resize=350%2C200 1x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2021\/06\/iStock-Stroke-scaled.jpg?resize=525%2C300 1.5x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2021\/06\/iStock-Stroke-scaled.jpg?resize=700%2C400 2x"},"classes":[]},{"id":305478,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2020\/05\/dramatic-drops-in-er-visits-likely-led-to-uncounted-deaths\/","url_meta":{"origin":321536,"position":1},"title":"Stroke, heart-attack cases plummet during pandemic","author":"harvardgazette","date":"May 22, 2020","format":false,"excerpt":"A Beth Israel Deaconess Medical Center study showed dramatic drops in hospital visits for heart attacks and stroke, which likely led to uncounted deaths at home during the COVID crisis. Perhaps more troubling is the potential for long-term damage to decades\u2019 work to catch conditions in their earliest, most treatable\u2026","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"Emergency Sign.","src":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/05\/ER-sign-Istock.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/05\/ER-sign-Istock.jpg?resize=350%2C200 1x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/05\/ER-sign-Istock.jpg?resize=525%2C300 1.5x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/05\/ER-sign-Istock.jpg?resize=700%2C400 2x"},"classes":[]},{"id":174756,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2015\/10\/basic-care-increases-odds-when-headed-to-hospital\/","url_meta":{"origin":321536,"position":2},"title":"Basic care increases odds when headed to the hospital","author":"harvardgazette","date":"October 12, 2015","format":false,"excerpt":"Patients with trauma, stroke, heart attack, and respiratory failure who were transported by basic life support ambulances had a better chance of survival than patients who were transported by advanced life support ambulances, a study of Medicare patients in urban counties nationwide found.","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"","src":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2015\/10\/ambulance800.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2015\/10\/ambulance800.jpg?resize=350%2C200 1x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2015\/10\/ambulance800.jpg?resize=525%2C300 1.5x"},"classes":[]},{"id":59256,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2005\/03\/researchers-find-better-way-to-predict-stroke-risk-in-sickle-cell-anemia-patients\/","url_meta":{"origin":321536,"position":3},"title":"Researchers find better way to predict stroke risk in sickle cell  anemia patients","author":"harvardgazette","date":"March 20, 2005","format":false,"excerpt":"Researchers from Children's Hospital Boston, Boston University School of Public Health (BUSPH), Boston University School of Medicine (BUSM), Boston Medical Center (BMC) and Harvard Medical School have developed a novel approach to predict the risk of stroke in these patients using their genetic variations. This approach is based on a\u2026","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"","src":"","width":0,"height":0},"classes":[]},{"id":304941,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2020\/05\/harvard-medical-school-uses-telemedicine-as-a-way-forward\/","url_meta":{"origin":321536,"position":4},"title":"The mother of invention","author":"Lian Parsons","date":"May 15, 2020","format":false,"excerpt":"COVID-19 pandemic spurs the creation of new, remote teaching methods at Harvard Medical School.","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"Typing on a laptop with stethoscope on desk.","src":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/05\/national-cancer-institute-NFvdKIhxYlU-unsplash-2500.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/05\/national-cancer-institute-NFvdKIhxYlU-unsplash-2500.jpg?resize=350%2C200 1x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/05\/national-cancer-institute-NFvdKIhxYlU-unsplash-2500.jpg?resize=525%2C300 1.5x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2020\/05\/national-cancer-institute-NFvdKIhxYlU-unsplash-2500.jpg?resize=700%2C400 2x"},"classes":[]},{"id":175368,"url":"https:\/\/news.harvard.edu\/gazette\/story\/2015\/10\/blood-clot-breakthrough-uses-drug-device-combo\/","url_meta":{"origin":321536,"position":5},"title":"Blood clot breakthrough uses drug-device combo","author":"harvardgazette","date":"October 28, 2015","format":false,"excerpt":"Harvard-affiliated researchers are working on a procedure that will allow fully obstructed blood clots in the brain to be cleared using a device that opens a small channel through the blockage, which combines with a clot-busting drug to target the obstructed site.","rel":"","context":"In &quot;Health&quot;","block_context":{"text":"Health","link":"https:\/\/news.harvard.edu\/gazette\/section\/health\/"},"img":{"alt_text":"","src":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2015\/10\/stroke-figure605.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/news.harvard.edu\/wp-content\/uploads\/2015\/10\/stroke-figure605.jpg?resize=350%2C200 1x, https:\/\/news.harvard.edu\/wp-content\/uploads\/2015\/10\/stroke-figure605.jpg?resize=525%2C300 1.5x"},"classes":[]}],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/posts\/321536","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/users\/105622744"}],"replies":[{"embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/comments?post=321536"}],"version-history":[{"count":5,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/posts\/321536\/revisions"}],"predecessor-version":[{"id":321651,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/posts\/321536\/revisions\/321651"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/media\/321649"}],"wp:attachment":[{"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/media?parent=321536"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/categories?post=321536"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/tags?post=321536"},{"taxonomy":"format","embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/gazette-formats?post=321536"},{"taxonomy":"series","embeddable":true,"href":"https:\/\/news.harvard.edu\/gazette\/wp-json\/wp\/v2\/series?post=321536"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}