Telemedicine is a rapidly growing field of medicine due to a combination of high-speed global telecommunication systems and accessibility of small, fast mobile computing platforms with bidirectional audiovisual camera capabilities. Teleneurology is a subset of telemedicine. TeleNeuroICU, one form of teleneurology, is the practice of virtually consulting on patients in the ICU setting with neurological and neurosurgical conditions. Given the current and future shortage of neurologists and neurointensivists, there is a high demand for TeleNeuroICU services around the globe and this is expected to increase in the future. This review summarizes the state of the art around the TeleNeuroICU practice for practitioners in the field, emerging research in this area, and new technologies and integrations that enhance the value of TeleNeuroICU to health care systems.
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Teleneurocritical care is associated with equivalent billable charges to in-person neurocritical care for patients with acute stroke.
J Telemed Telecare
December 2024
Department of Neurology, Intermountain Medical Center, Murray, Utah, USA.
Introduction: Teleneurocritical care (TNCC) provides virtual care for hospitals who do not have continuous neurointensivist coverage. It is not known if TNCC is cost effective nor which variables impact the total billed charges per patient encounter. We characterize cost, defined by charge characteristics of TNCC compared to in-person neurocritical care (NCC), for patients with acute ischemic or hemorrhagic stroke requiring ICU care.
View Article and Find Full Text PDFTeleneurocritical Care for Patients with Large Vessel Occlusive Ischemic Stroke Treated by Thrombectomy.
Neurocrit Care
June 2023
Department of Neurology, Intermountain Medical Center, 5121 Cottonwood Street, Murray, UT, 84107, USA.
Article Synopsis
- Teleneurocritical care (TNCC) offers 24/7 remote treatment for patients with neurological diseases in emergency and intensive care settings, but its safety and effectiveness compared to in-person care were previously unclear.
- A study analyzed data from 437 patients with acute ischemic stroke who underwent thrombectomy, comparing outcomes between those receiving TNCC and traditional in-person neurocritical care.
- Results showed similar rates of functional recovery, mortality, and complications between TNCC and in-person care, indicating that TNCC can provide comparable quality treatment for stroke patients.
TeleNeuroICU: Expanding the Reach of Subspecialty Neurocritical Care.
Semin Neurol
February 2022
Department of Neurology, Mayo Clinic, Rochester, Minnesota.
Telemedicine is a rapidly growing field of medicine due to a combination of high-speed global telecommunication systems and accessibility of small, fast mobile computing platforms with bidirectional audiovisual camera capabilities. Teleneurology is a subset of telemedicine. TeleNeuroICU, one form of teleneurology, is the practice of virtually consulting on patients in the ICU setting with neurological and neurosurgical conditions.
View Article and Find Full Text PDFTeleneurocritical care and telestroke.
Crit Care Clin
April 2015
Cerebrovascular Center, Neurological Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Electronic address:
Telestroke and teleneurologic intensive care units (teleneuro-ICUs) optimize the diagnosis and treatment of neurologic emergencies. Establishment of a telestroke or teleneuro-ICU program relies on investment in experienced stroke and neurocritical care personnel as well as advanced telecommunications technologies. Telemanagement of neurologic emergencies can be standardized to improve outcomes, but it is essential to have a relationship with a tertiary care facility that can use endovascular, neurosurgical, and neurocritical care advanced therapies after stabilization.
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