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Alasheev A.M.

Regional Clinical Hospital No. 1

Prazdnichkova E.V.

Sverdlovsk Regional Clinical Hospital No. 1

Belkin A.A.

Sverdlovsk Regional Clinical Hospital No. 1

Kiseleva T.V.

Federal Center for Brain and Neurotechnologies of the Federal Medical Biological Agency of Russia;
Research Institute of Health Organization and Medical Management

Khan D.S.

Primorsky Regional Clinical Hospital No. 1

Khalo N.V.

Krasnoyarsk Interdistrict Clinical Hospital No. 20 named after I.S. Berzon

Grigoriev E.A.

Krasnoyarsk Interdistrict Clinical Hospital No. 20 named after I.S. Berzon

Timchenko L.V.

Research Institute — Regional Clinical Hospital No. 1 named after Prof. S.V. Ochapovsky

Nikolaeva T.Ya.

North-Eastern Federal University

Sharina S.F.

Republican Hospital No. 2 — Emergency Medical Center

Loskutnikov M.A.

Novosibirsk Region Central Clinical Hospital

Azarova A.G.

Pskov Regional Clinical Hospital

Marskaya N.A.

Federal Center for Brain and Neurotechnology

Shamalov N.A.

Federal Center for Brain and Neurotechnologies

Increasing the accessibility of reperfusion therapy for ischemic stroke in primary vascular units using teleconsulting in the Russian Federation

Authors:

Alasheev A.M., Prazdnichkova E.V., Belkin A.A., Kiseleva T.V., Khan D.S., Khalo N.V., Grigoriev E.A., Timchenko L.V., Nikolaeva T.Ya., Sharina S.F., Loskutnikov M.A., Azarova A.G., Marskaya N.A., Shamalov N.A.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2025;125(8‑2): 81‑88

DOI: 10.17116/jnevro202512508281

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Table of contents

INCREASING THE ACCESSIBILITY OF REPERFUSION THERAPY FOR ISCHEMIC STROKE IN PRIMARY VASCULAR UNITS USING TELECONSULTING IN THE RUSSIAN FEDERATION
INCREASING THE ACCESSIBILITY OF REPERFUSION THERAPY FOR ISCHEMIC STROKE IN PRIMARY VASCULAR UNITS USING TELECONSULTING IN THE RUSSIAN FEDERATION

To cite this article:

Alasheev AM, Prazdnichkova EV, Belkin AA, et al. 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;125(8‑2):81‑88. (In Russ.)
https://doi.org/10.17116/jnevro202512508281

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
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Abstract:

OBJECTIVE

To analyze the impact of primary vascular units using teleconsulting (tele-PVU) on the accessibility and quality of specialized medical care for patients with cerebrovascular accidents (CVAs).

MATERIAL AND METHODS

The study is based on data from a survey of the chief neurology consultants of 85 constituent entities of the Russian Federation and anonymized information about patients treated in tele-PVUs in 2023. The analysis included accessibility to care, the percentage of patients receiving thrombolytic therapy (TLT), and mortality. Statistical analysis was carried out using IBM SPSS Statistics v.25.0 and Microsoft Excel 2016.

RESULTS

Establishing tele-PVUs has increased the accessibility of TLT in regions with a low population density. The frequency of TLT among patients with ischemic stroke in tele-PVUs was 9.8%, exceeding the average for the Russian Federation. Tele-PVUs also contributed to a reduction in the time from the onset of stroke symptoms to the start of treatment. In several regions, there has been a significant increase in the percentage of patients receiving reperfusion therapy. However, limitations were identified regarding the lack of qualified specialists and technical conditions for telemedicine consultations.

CONCLUSION

The establishment of new units has increased the accessibility of medical care, including reperfusion therapy for stroke patients in regions with a low population density and/or prolonged medical evacuation to the nearest specialized unit. However, for further implementation of this system, it is necessary to continue work on solving technical and organizational issues and ensure the integration of telemedicine into the existing medical system.

Keywords:

telemedicine for stroke
systemic thrombolytic therapy
ischemic stroke

Authors:

Alasheev A.M.

Regional Clinical Hospital No. 1

Prazdnichkova E.V.

Sverdlovsk Regional Clinical Hospital No. 1

Belkin A.A.

Sverdlovsk Regional Clinical Hospital No. 1

Kiseleva T.V.

Federal Center for Brain and Neurotechnologies of the Federal Medical Biological Agency of Russia;
Research Institute of Health Organization and Medical Management

Khan D.S.

Primorsky Regional Clinical Hospital No. 1

Khalo N.V.

Krasnoyarsk Interdistrict Clinical Hospital No. 20 named after I.S. Berzon

Grigoriev E.A.

Krasnoyarsk Interdistrict Clinical Hospital No. 20 named after I.S. Berzon

Timchenko L.V.

Research Institute — Regional Clinical Hospital No. 1 named after Prof. S.V. Ochapovsky

Nikolaeva T.Ya.

North-Eastern Federal University

Sharina S.F.

Republican Hospital No. 2 — Emergency Medical Center

Loskutnikov M.A.

Novosibirsk Region Central Clinical Hospital

Azarova A.G.

Pskov Regional Clinical Hospital

Marskaya N.A.

Federal Center for Brain and Neurotechnology

Shamalov N.A.

Federal Center for Brain and Neurotechnologies

Received:

11.03.2025

Accepted:

21.03.2025

Close metadata

References:

  1. Skvortsova VI, Shetova IM, Kakorina EP, et al. Results of implementation of a «Complex of measures to improve medical care for patients with stroke in the Russian Federation». S.S. Korsakov Journal of Neurology and Psychiatry. Specvypuski. 2018;118(4):5-12. (In Russ.). https://doi.org/10.17116/jnevro2018118415-12
  2. Federal Law No. 323-FZ of November 21, 2011 «On the Fundamentals of Public Health Protection in the Russian Federation». https://minzdrav.gov.ru/documents/7025
  3. Lees KR, Bluhmki E, von Kummer R, et al. Time to treatment with intravenous alteplase and outcome in stroke: an updated pooled analysis of ECASS, ATLANTIS, NINDS, and EPITHET trials. Lancet. 2010;375(9727):1695-1703. https://doi.org/10.1016/s0140-6736(10)60491-6
  4. Waseem H, Salih YA, Burney CP, et al. Efficacy and Safety of the Telestroke Drip-And-Stay Model: A Systematic Review and Meta-Analysis. J Stroke Cerebrovasc Dis. 2021;30(4):105638. https://doi.org/10.1016/j.jstrokecerebrovasdis.2021.105638
  5. Alasheev A.M., Prazdnichkova E.V., Belkin A.A. Experience of providing medical care for patients with stroke in teleconsulted stroke units in the Sverdlovsk region. Menedzher zdravoohraneniya. 2024;1:85-90. (In Russ.). https://doi.org/10.21045/1811-0185-2024-1-85-90
  6. Zachrison KS, Asif KS, Chapman S, et al. American Heart Association Emergency Neurovascular Care and Telestroke Committee of the Stroke Council; Council on Cardiovascular and Stroke Nursing; and Council on Cardiovascular Radiology and Intervention. Identifying Best Practices for Improving the Evaluation and Management of Stroke in Rural Lower-Resourced Settings: A Scientific Statement From the American Heart Association. Stroke. 2025;56(2):e62-e74.  https://doi.org/10.1161/str.0000000000000478
  7. Alasheev AM, Hubert GJ, Santo GC, et al. European guidelines for stroke telemedicine. S.S. Korsakov Journal of Neurology and Psychiatry. Specvypuski. 2020;120(3-2):33-41. (In Russ.). https://doi.org/10.17116/jnevro202012003233
  8. Order of the Ministry of Health of the Russian Federation No. 928n dated November 15, 2012 «On Approval of the Procedure for providing medical care to patients with acute cerebral circulatory disorders». https://minzdrav.gov.ru/documents/9104
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