The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2026
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Alasheev A.M.

Sverdlovsk Regional Clinical Hospital №1, Ekaterinberg

Hubert G.J.

Department of Neurology, TEMPiS network, Munich Clinic, Munich, Germany

Santo G.C.

Neurology Department, Centro Hospitalar e Universita´rio de Coimbra, Coimbra, Portugal

Vanhooren G.T.

Department of Neurology, AZ Sint-Jan Brugge-Oostende AV, Bruges, Belgium

Zvan B.

TeleKap network, Ljubljana University Medical Center, Ljubljana, Slovenia

Campos S.T.

Son Espases University Hospital, Balearic Islands, Spain

Abilleira S.

Stroke Programme, Agency for Health Quality and Assessment of Catalonia, CIBER Epidemiologia y Salud Publica, Barcelona, Spain

Corea F.

Stroke and Neurology Clinic, San Giovanni Battista Hospital, Foligno, Italy

Recommendations on telestroke in Europe

Authors:

Alasheev A.M., Hubert G.J., Santo G.C., Vanhooren G.T., Zvan B., Campos S.T., Abilleira S., Corea F.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(3‑2): 33‑41

DOI: 10.17116/jnevro202012003233

Read: 4414 times

Download PDF (RU)
Contact the author
Table of contents

RECOMMENDATIONS ON TELESTROKE IN EUROPE
RECOMMENDATIONS ON TELESTROKE IN EUROPE

To cite this article:

Alasheev AM, Hubert GJ, Santo GC, et al. Recommendations on telestroke in Europe. S.S. Korsakov Journal of Neurology and Psychiatry. 2020;120(3‑2):33‑41. (In Russ.)
https://doi.org/10.17116/jnevro202012003233

Подписка 2026 Журнал неврологии и психиатрии им. С.С. Корсакова. Спецвыпуски (S.S. Korsakov Journal of Neurology and Psychiatry (special issues))
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Primary progressive apha­sia in the neurologist practice. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4-2):61-66
Cognitive impairment after major surgical operations. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(4-2):74-80
Approaches to medi­cal reha­bilitation of patients with post-stroke hemianopsia. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(8-2):20-25
Epileptogenesis and risk factors of symptomatic epileptic seizures in patients with acute cere­brovascular acci­dents. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(8-2):26-31
Effe­ctiveness of “brain—computer” inte­rfaces with biofeedback in the reha­bilitation of cognitive impairment after a stroke. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(8-2):54-60
Features of speech reha­bilitation in various types of post-stroke dysa­rthria. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(8-2):61-66
Increasing the acce­ssibility of repe­rfusion therapy for ischemic stroke in primary vascular units using tele­consulting in the Russian Fede­ration. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(8-2):81-88
Prevalence and characteristics of risk factors for cere­brovascular disease in overweight. S.S. Korsakov Journal of Neurology and Psychiatry. 2025;(5):118-124
Remote technologies in the mana­gement of patients with vestibular pathology. Russian Bulletin of Otorhinolaryngology. 2025;(3):53-59
Prediction of restoration of functional acti­vity of pare­tic limbs in patients who have suffered an ischemic stroke. Problems of Balneology, Physiotherapy and Exercise Therapy. 2025;(3):31-40
Abstract:

Introduction. This paper is an adapted translation of recommendations on telestroke provided by the European Stroke Organization. Lack of stroke specialists determines that many European rural areas remain underserved. Use of telemedicine in stroke care has shown to be safe, increase use of evidence-based therapy and enable coverage of large areas of low population density. An aim of the study is to summarise the following recommendations of the Telestroke Committee of the European Stroke Organization on the setup of telestroke networks in Europe: Hospitals participating in telestroke networks should be chosen according to criteria that include population density, transportation distance, geographic specifics and in-hospital infrastructure and professional resources. Three hospital categories are identified to be part of a hub-and-spoke network: (1) the Telemedicine Stroke Centre (an European Stroke Organization stroke centre or equivalent with specific infrastructure and setup for network and telemedicine support), (2) the telemedicine-assisted stroke Unit (equivalent to an European Stroke Organization stroke unit but without 24 h onsite stroke expertise) and (3) the telemedicine-assisted stroke ready hospital (only covering hyperacute treatment in the emergency department and transferring all patients for further treatment).

Keywords:

telemedicine
telestroke
network
stroke
stroke care system
remote area

Authors:

Alasheev A.M.

Sverdlovsk Regional Clinical Hospital №1, Ekaterinberg

Hubert G.J.

Department of Neurology, TEMPiS network, Munich Clinic, Munich, Germany

Santo G.C.

Neurology Department, Centro Hospitalar e Universita´rio de Coimbra, Coimbra, Portugal

Vanhooren G.T.

Department of Neurology, AZ Sint-Jan Brugge-Oostende AV, Bruges, Belgium

Zvan B.

TeleKap network, Ljubljana University Medical Center, Ljubljana, Slovenia

Campos S.T.

Son Espases University Hospital, Balearic Islands, Spain

Abilleira S.

Stroke Programme, Agency for Health Quality and Assessment of Catalonia, CIBER Epidemiologia y Salud Publica, Barcelona, Spain

Corea F.

Stroke and Neurology Clinic, San Giovanni Battista Hospital, Foligno, Italy

Close metadata

References:

  1. Levine SR, Gorman M. Telestroke: the application of telemedicine for stroke. Stroke. 1999;30:464-469.
  2. Audebert HJ, Kukla C, Vatankhah B, Gotzler B, Schenkel J, Hofer S, Fürst A, Haberl RL. Comparison of tissue plasminogen activator administration management between Telestroke Network hospitals and academic stroke centers: the Telemedical Pilot Project for Integrative Stroke Care in Bavaria/Germany. Stroke. 2006;37:1822-1827.
  3. Wang S, Gross H, Lee SB, Pardue C, Waller J, Nichols FT 3rd, Adams RJ, Hess DC. Remote evaluation of acute ischemic stroke in rural community hospitals in Georgia. Stroke. 2004;35:1763-1768.
  4. Carmen Jiménez M, Tur S, Legarda I, Vives B, Gorospe A, José Torres M, Merino P, Campillo C. The application of telemedicine for stroke in the Balearic Islands: the Balearic Telestroke project. Rev Neurol. 2012;154:31-40.
  5. Arnao V, Popovic N and Caso V. How is stroke care organised in Europe? Presse Med. 2016;45:399-408.
  6. 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. Thrombolysis delivery by a regional telestroke network—experience from the U.K. National Health Service. J Am Heart Assoc. 2014;263:e000408. https://doi.org/10.1161/JAHA.113.000408
  7. Audebert HJ, Schenkel J, Heuschmann PU, Bogdahn U, Haberl RL; Telemedic Pilot Project for Integrative Stroke Care Group. Effects of the implementation of a telemedical stroke network: the Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria, Germany. Lancet Neurol. 2006;5(9):742-748. https://doi.org/10.1016/S1474-4422(06)70527-0
  8. de Bustos EM, Moulin T, Audebert HJ. Barriers, legal issues, limitations and ongoing questions in telemedicine applied to stroke. Cerebrovasc Dis Basel Switz. 2009;27:36-99.
  9. Sairanen T, Soinila S, Nikkanen M, Rantanen K, Mustanoja S, Färkkilä M, Pieninkeroinen I, Numminen H, Baumann P, Valpas J, Kuha T, Kaste M, Tatlisumak T; Finnish Telestroke Task Force. Two years of Finnish Telestroke: thrombolysis at spokes equal to that at the hub. Neurology. 2011;76:1145-1152. https://doi.org/10.1212/WNL.0b013e318212a8d4
  10. Müller-Barna P, Hubert GJ, Boy S, Bogdahn U, Wiedmann S, Heuschmann PU, Audebert HJ. TeleStroke units serving as a model of care in rural areas: 10-year experience of the TeleMedical project for integrative stroke care. Stroke. 2014;45:2739-2744.
  11. Norrving B; InterNational Society of Internal Medicine; European Stroke Council; InterNational Stroke Society; WHO Regional Office for European. The 2006 Helsingborg consensus conference on European stroke strategies: summary of conference proceedings and background to the 2nd Helsingborg Declaration. Int J Stroke. 2007;2(2):139-143. https://doi.org/10.1111/j.1747-4949.2007.00109.x
  12. Muller-Barna P, Schwamm LH and Haberl RL. Telestroke increases use of acute stroke therapy. Curr Opin Neurol. 2012;25:5-10.
  13. Wechsler LR, Demaerschalk BM, Schwamm LH, Adeoye OM, Audebert HJ, Fanale CV, Hess DC, Majersik JJ, Nystrom KV, Reeves MJ, Rosamond WD, Switzer JA; American Heart Association Stroke Council; Council on Epidemiology and Prevention; Council on Quality of Care and Outcomes Research. Telemedicine quality and outcomes in stroke: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2017;48(1):3-25.
  14. Ringelstein EB, Chamorro A, Kaste M, Langhorne P, Leys D, Lyrer P, Thijs V, Thomassen L, Toni D; ESO Stroke Unit Certification Committee. European Stroke Organisation recommendations to establish a stroke unit and stroke center. Stroke. 2013;44(3):828-840. https://doi.org/10.1161/STROKEAHA.112.670430
  15. Saposnik G, Baibergenova A, O’Donnell M, Hill MD, Kapral MK, Hachinski V; Stroke Outcome Research Canada (SORCan) Working Group. Hospital volume and stroke outcome: does it matter? Neurology. 2007;69(11):1142-1151. https://doi.org/10.1212/01.wnl.0000268485.93349.58
  16. Bray BD, Campbell J, Cloud GC, Hoffman A, Tyrrell PJ, Wolfe CD, Rudd AG; Intercollegiate Stroke Working Party Group. Bigger, faster? Associations between hospital thrombolysis volume and speed of thrombolysis administration in acute ischemic stroke. Stroke. 2013;44(11):3129-3135. https://doi.org/10.1161/STROKEAHA.113.001981
  17. Emberson J, Lees KR, Lyden P, Blackwell L, Albers G, Bluhmki E, Brott T, Cohen G, Davis S, Donnan 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, Sandercock P, Hacke W; Stroke Thrombolysis Trialists’ Collaborative Group. 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 Lond Engl. 2014;384(9958):1929-1935. https://doi.org/10.1016/S0140-6736(14)60584-5
  18. Saver JL, Goyal M, van der Lugt A, Menon BK, Majoie CB, Dippel DW, Campbell BC, Nogueira RG, Demchuk AM, Tomasello A, Cardona P, Devlin TG, Frei DF, du Mesnil de Rochemont R, Berkhemer OA, Jovin TG, Siddiqui AH, van Zwam WH, Davis SM, Castaño C, Sapkota BL, Fransen PS, Molina C, van Oostenbrugge RJ, Chamorro Á, Lingsma H, Silver FL, Donnan GA, Shuaib A, Brown S, Stouch B, Mitchell PJ, Davalos A, Roos YB, Hill MD; HERMES Collaborators. Time to treatment with endovascular thrombectomy and outcomes from ischemic stroke: a meta-analysis. JAMA. 2016;316(12):1279-1288. https://doi.org/10.1001/jama.2016.13647
  19. Terént A, Asplund K, Farahmand B, Henriksson KM, Norrving B, Stegmayr B, Wester PO, Asberg KH, Asberg S; Riks-Stroke Collaboration. Stroke unit care revisited: who benefits the most? A cohort study of 105,043 patients in Riks-stroke, the Swedish stroke register. J Neurol Neurosurg Psychiat. 2009;80(8):881-887. https://doi.org/10.1136/jnnp.2008.169102
  20. Kjellstrom T, Norrving B and Shatchkute A. Helsingborg declaration 2006 on European stroke strategies. Cerebrovasc Dis Basel Switz. 2007;23(2-3):231-241. https://doi.org/10.1159/000097646
  21. Statistics on rural areas in the EU. Statistics Explained; 2017 [Internet] https://ec.europa.eu/eurostat/statisticsexplained/index.php/Statistics_on_rural_areas_in_the_EU (accessed 8 April 2018).
  22. Alberts MJ, Wechsler LR, Jensen ME, Latchaw RE, Crocco TJ, George MG, Baranski J, Bass RR, Ruff RL, Huang J, Mancini B, Gregory T, Gress D, Emr M, Warren M, Walker MD. Formation and function of acute stroke-ready hospitals within a stroke system of care recommendations from the brain attack coalition. Stroke. 2013;44(12):3382-3393. https://doi.org/10.1161/STROKEAHA.113.002285
  23. Schwamm LH, Audebert HJ, Amarenco P, Chumbler NR, Frankel MR, George MG, Gorelick PB, Horton KB, Kaste M, Lackland DT, Levine SR, Meyer BC, Meyers PM, Patterson V, Stranne SK, White CJ; American Heart Association Stroke Council; Council on Epidemiology and Prevention; Interdisciplinary Council on Peripheral Vascular Disease; Council on Cardiovascular Radiology and Intervention. Recommendations for the implementation of telemedicine within stroke systems of care: a policy statement from the American Heart Association. Stroke. 2009;40(7):2635-2660. https://doi.org/10.1161/STROKEAHA.109.192361
  24. Oath of Hippocrates. In: Harvard Classics, V. 38. Boston: P.F. Collier and Son; 1910. [Internet] https://www.cirp.org/library/ethics/hippocrates/ (21 January 2018).
  25. The World Medical Association. WMA statement on the ethics of telemedicine. Reykjavik, Iceland: 69 WMA General Assembly; October 2018. [Internet] https://www.wma.net/policies-post/wma-statement-on-theethics-of-telemedicine/ (21 January 2018).
  26. Stanberry B. Legal and ethical aspects of telemedicine. J Telemed Telecare. 2006;12(4):166-175. https://doi.org/10.1258/135763306777488825
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.