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Telemedizin in der Schlaganfallversorgung

Telemedicine in stroke care

  • Leitthema
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Zusammenfassung

Telemedizin wird bereits in vielen Schlaganfallnetzwerken eingesetzt und gewährleistet eine heimatnahe Schlaganfallversorgung auch in ländlichen, medizinisch unterversorgten Regionen. Dies gelingt insbesondere dort, wo die Telemedizin in ein Stroke-Unit-Konzept integriert ist. Die telemedizinbasierte Thrombolyse gehört bereits seit vielen Jahren zur Routine. Neue Herausforderungen für telemedizinische Schlaganfallnetzwerke ergeben sich mit der Implementierung der flächendeckenden mechanischen Thrombektomie und den damit verbundenen Prozessen. Wichtige Aufgaben für die Zukunft stellen zudem die Entwicklung einer strukturierten Schlaganfallnachsorge in neurologisch unterversorgten Gebieten sowie die dauerhafte Sicherung einer gleichmäßig hohen Schlaganfallbehandlungsqualität in den telemedizinisch angeschlossenen Kliniken dar.

Abstract

Telemedicine is already widely used in many telestroke networks and ensures stroke treatment close to the patient’s home in rural and medically underserved areas. This is particularly effective when telemedicine is integrated into a stroke unit concept. While telemedically based thrombolysis therapy has become routine practice for many years, practical implementation of comprehensive mechanical thrombectomy and the related processes remains challenging. The main tasks for the future further include development of a structured stroke aftercare system in neurologically underserved areas and permanent assurance of high-quality stroke care in telemedically connected sites.

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Authors and Affiliations

  1. Neurologische Klinik, Universitätsklinikum Erlangen, Schwabachanlage 6, 91054, Erlangen, Deutschland

    L. Breuer & S. Schwab

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  1. L. Breuer
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  2. S. Schwab
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Correspondence to L. Breuer.

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Interessenkonflikt

L. Breuer erhielt Vortragshonorare und Reisekosten der Firma Bayer und Reisekosten der Firma Boehringer Ingelheim. S. Schwab erhielt Vortragshonorare der Firmen Bayer, Bristol-Myers Squibb, Pfizer und Boehringer Ingelheim.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Redaktion

S. Schwab, Erlangen

M. Köhrmann, Essen

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Breuer, L., Schwab, S. Telemedizin in der Schlaganfallversorgung. Med Klin Intensivmed Notfmed 112, 687–694 (2017). https://doi.org/10.1007/s00063-017-0344-3

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