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TeleStroke

TeleStroke Book
Author : Latisha Katie Sharma
Publisher : Academic Press
Release : 2021-01-29
ISBN : 9780128241615
Language : En, Es, Fr & De

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Book Description :

Telestroke helps readers develop a deeper understanding on how to utilize telestroke in clinical practice, a key step in providing optimal treatment and management to those with geographical and social/economic disparities. The book discusses how to provide accurate and fast revascularization for patients with acute ischemic stroke and how to continue remote care of patients. It also reviews underlying stroke etiology, interpretation and assessment of stroke diagnostic tools/teleradiology, complications of care, discusses targeted, secondary preventative therapies and covers telerehabilitation, outpatient follow-up and clinical trial engagement. Includes tactics on how to enact rapid implementation by stroke neurologists Explains recent changes to telehealth coding/reimbursement Reviews the underlying stroke etiology, interpretation and assessment of stroke diagnostic tools/teleradiology, and complications of care Covers targeted, preventative therapies, telerehabilitation, outpatient follow-up, and clinical trial engagement

Telestroke the Use of Telemedicine in Stroke Care

Telestroke  the Use of Telemedicine in Stroke Care Book
Author : Thierry Moulin,Heinrich J. Audebert
Publisher : Unknown
Release : 2009
ISBN : 9783805591553
Language : En, Es, Fr & De

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Book Description :

This issue is a dedicated supplement published in addition to the regular issues of 'Cerebrovascular Diseases' focussing on one specific topic. 'Cerebrovascular Diseases' is a well-respected, international peer-reviewed journal in Neurology. Supplement issues are included in the subscription.

Telemedicine for Trauma Emergencies and Disaster Management

Telemedicine for Trauma  Emergencies  and Disaster Management Book
Author : Rifat Latifi
Publisher : Artech House
Release : 2010
ISBN : 1607839989
Language : En, Es, Fr & De

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Book Description :

Telemedicine has evolved to become an important field of medicine and healthcare, involving everything from simple patient care to actual performance of operations at a distance. This groundbreaking volume addresses the complex technical and clinical development in the management of trauma, disaster, and emergency situations using telemedicine. The book explains how telemedicine and related technologies can be used to effectively handle a wide range of scenarios, from a situation as small as a car crash, to major disasters such as an earthquake. Professionals find critical discussions on the practicality, logistics, and safety of telemedicine from recognized experts in the field. From teleteaching and telemonitoring, to teletrauma and telesurgery, this authoritative book covers all the major aspects that practitioners need to understand in order to engage and utilize this burgeoning area of medicine.

Telemedicine Telehealth and Telepresence

Telemedicine  Telehealth and Telepresence Book
Author : Rifat Latifi
Publisher : Springer Nature
Release : 2021-04-15
ISBN : 3030569179
Language : En, Es, Fr & De

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Book Description :

Download Telemedicine Telehealth and Telepresence book written by Rifat Latifi, available in PDF, EPUB, and Kindle, or read full book online anywhere and anytime. Compatible with any devices.

Ischemic Stroke An Issue of Neuroimaging Clinics of North America E Book

Ischemic Stroke  An Issue of Neuroimaging Clinics of North America E Book Book
Author : Lotfi Hacein-Bey
Publisher : Elsevier Health Sciences
Release : 2018-10-19
ISBN : 032364158X
Language : En, Es, Fr & De

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Book Description :

This issue of Neuroimaging Clinics of North America focuses on Ischemic Stroke, and is edited by Dr. Lotfi Hacein-Bey. Articles will include: Clinical distinction of cerebral ischemia and triaging of patients in the ED: mimics, wake-ups, late strokes and chameleons; Telestroke; CT, CTA and CT perfusion of acute stroke; MRI based imaging of acute stroke; Advanced neuroimaging of acute stroke: collaterals, permeability imaging, Arterial Spin Labeling; Penumbra, oligemia, infarction: understanding hypoperfusion with neuroimaging?; Pathophysiology of thrombus and clinical implications; Neuro-interventional management of stroke; Non interventional treatment options for stroke; What to look for on post-stroke neuroimaging; Reperfusion changes after stroke and practical approaches for neuroprotection; Economics of stroke treatment (value-based payment models and other); Health care organization of neuroradiological management of stroke at regional and national levels: the French experience; and more!

Neurointensive Care Unit

Neurointensive Care Unit Book
Author : Sarah E. Nelson,Paul A. Nyquist
Publisher : Springer Nature
Release : 2020-03-18
ISBN : 3030365484
Language : En, Es, Fr & De

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Book Description :

This book offers valuable guidance to neurointensivists, other neurocritical care staff, and those desiring to develop a neurocritical care unit via a thorough discussion of neurological emergencies and neurocritical care unit organization. This comprehensive volume begins with a review of acute neurological emergencies as managed clinically in the neurocritical care unit. Topics include acute cerebrovascular, neurological, and neurosurgical disorders. The unique aspect of this book is its description of the organization of the neurocritical care unit. We focus on how other services in the hospital interact with and assist neurocritical care operations, telemedicine/telestroke, and neurocritical care personnel and their roles. A review of expected outcomes of neurocritical care conditions is also included. Neurointensivists, neurocritical care unit staff leadership, hospital administrators, and those interested in developing a neurocritical care unit will find Neurointensive Care Unit: Clinical Practice and Organization to be an invaluable guide.

Teleneurology in Practice

Teleneurology in Practice Book
Author : Jack W. Tsao,Bart M. Demaerschalk
Publisher : Springer
Release : 2015-06-09
ISBN : 1493923498
Language : En, Es, Fr & De

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Book Description :

This title will provide an up-to-date review of the emerging practice of neurology telemedicine. Increasingly, neurology, like other disciplines of medicine, is implementing the technological advances and discoveries of the science of healthcare delivery to improve not only access and efficiency but outcomes and cost as well. For patients in remote and underserved areas, having a neurological condition means lengthy and costly travel to obtain specialist evaluation. Telemedicine has the ability to deliver such care to a patient’s local community. Neurology telemedicine for acute stroke has already demonstrated clinical efficacy and cost effectiveness by raising the numbers of thrombolysis-eligible patients who can be treated in a timely fashion. More than 85% of leading US neurology departments currently use or plan to implement telemedicine within the next year. The US military has a limited number of neurologists – a store-and-forward consultation system has enabled military neurologists to deliver far-forward battlefield care for service members deployed overseas. The chapters in this book will review the use of telemedicine for the evaluation and treatment of patients with many common neurological conditions and will provide a practical guide for neurologists seeking to incorporate telemedicine into their daily practices.

Four Year Pre hospital Telestroke Program Progress Improvements and Worldwide Applications

Four Year Pre hospital Telestroke Program  Progress  Improvements and Worldwide Applications Book
Author : Anonim
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

For more than four years, Specialty Telehealth Services (STS), the Gordon Center for Research in Medical Education (GCRME), Monroe County Fire Rescue (MCFR), and University of Miami (UM) Neurologists have been utilizing a comprehensive pre-hospital Telestroke Program in South Florida. STS 24-hour response center connects pre-hospital personnel located in the Florida Keys to the on-call neurologists. The neurologist completes the NIHSS directly from their mobile device, and determines if the patient meets air-transport criteria to UMu2019s Comprehensive Stroke Center. A comprehensive systems analysis has been performed looking at the success rates of the Telestroke calls made from the pre-hospital arena to the stroke team from January 2014 to December of 2017. The data collected revealed that the rate of successful Telestroke calls had improved from 43% to 61%, however the percentage of unsuccessful assessments was still high. A closer look at the causes of unsuccessful calls, revealed the presence of both technical and human errors. Early in 2018, new procedural and technical changes were implemented in both the pre-hospital and hospital areas as identified in the analysis. The data from the customized and comprehensive Telestroke system will be monitored and analyzed during 2018. Significant improvements in the success of the Telestroke assessments are expected.

The South Carolina Telestroke Program

The South Carolina Telestroke Program Book
Author : Steve M. DiLembo
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

In completion, of the necessary research, archival data from the 2013 Healthcare Cost and Utilization Project (HCUP) State Inpatient Database (SID) for South Carolina was utilized. Hospital encounters that had a primary diagnosis code of 424.xx & 436.xx (ICD-9-CM) were identiifed for analysis. The analysis revealed 9,311 South Carolinians suffered a stroke in 2013 while a total of 461 patients were administred t-PA (4.95%). The study found a great percentage of pateints living in 'Telestroke Access' counties received t-PA compared to those that did not, 5.11% to 4.76%, respectively. However, the county in which patients resides was not a stastically significant indicator because of the p-value = 0.36."

INTEROBSERVER AGREEMENT WITH TELESTROKE NEUROLOGISTS FOR CORTICAL SIGN SCREENING BY EMERGENCY MEDICINE PHYSICIANS SUPERVISED BY TELESTROKE NURSES

INTEROBSERVER AGREEMENT WITH TELESTROKE NEUROLOGISTS FOR CORTICAL SIGN SCREENING BY EMERGENCY MEDICINE PHYSICIANS SUPERVISED BY TELESTROKE NURSES Book
Author : Dale E. Strong
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Introduction: In our telestroke network prior to the involvement of a teleneurologist, bedside Emergency Medicine physicians (EMPs), supervised by remote telestroke nurses, screen suspected acute stroke patients for the cortical signs of Visual Field deficit, Aphasia, Neglect, Gaze preference and Dense hemiparesis (FANG-D). The agreement between these EMP screens to the cortical findings of telestroke neurologists is unknown.Methods: We conducted a retrospective study of suspected acute stroke patients to determine the agreement (Cohenu2019s kappa) between the FANG-D screen elements, as assessed by EMPs supervised by telestroke nurses, to the corresponding elements of the National Institutes of Health Stroke Scale assessed subsequently by a teleneurologist.Results: We analyzed 627 patient visits with completed FANG-D assessments from August 2018 to January 2019 among 618 patients. Forty-five percent (n=281) of patients were male. Mean patient age was 63.5 (SD 15.5) years. Kappa values were as follows: visual field deficit 0.41 (95% CI 0.30-0.52), aphasia 0.55 (95% CI 0.47-0.62), neglect 0.32, (95% CI 0.17-0.47), gaze preference 0.57, (95% CI 0.45-0.69), dense hemiparesis 0.57 (95% CI 0.50-0.64).Conclusions: Between bedside EMPs, supervised remotely by telestroke nurses, and telestroke neurologists, we found minimal agreement for assessing neglect and weak agreement for assessing visual field deficit. These data suggest that LVO screens performed via telemedicine including neglect and visual field deficit may be the least reliable.

DEVELOPMENT OF A NEW PREDICTIVE MODEL FOR THROMBOLYSIS IN THE TELESTROKE FOR HYPERTENSIVE ACUTE ISCHEMIC STROKE PATIENTS

DEVELOPMENT OF A NEW PREDICTIVE MODEL FOR THROMBOLYSIS IN THE TELESTROKE FOR HYPERTENSIVE ACUTE ISCHEMIC STROKE PATIENTS Book
Author : Leah Wormack
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Background. The telestroke technology provides sustainable approaches to improve the use of thrombolysis therapy. How this is achieved is not fully understood. We developed a new computational model to predict inclusion for thrombolysis for hypertensive stroke patients. Methods. Clinical risk factors associated with inclusion or exclusion for thrombolysis in the telestroke and non telestroke were identified using multiple regression analysis. Associations between variables and thrombolysis in the regression models were determined using variance inflation factors while the fitness of each model was determined using the ROC curve to predict the power of each logistic regression model.Results. The non telestroke admitted more patients (62% vs 38%), when compared with the telestroke. Although the telestroke admitted fewer patients, it excluded 11% and administered thrombolysis therapy to 89% of stroke patients with hypertension. In the non telestroke group, adjusted odd ratios showed significant associations of NIH stroke scale score (OR= 1.059, 95% CI, 1.025 - 1.093, P

Canadian Stroke Best Practice Recommendations Telestroke Best Practice Guidelines Update 2017

Canadian Stroke Best Practice Recommendations  Telestroke Best Practice Guidelines Update 2017 Book
Author : Anonim
Publisher : Unknown
Release : 2021-04-15
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Every year, approximately 62,000 people with stroke and transient ischemic attack are treated in Canadian hospitals. The 2016 update of the Canadian Stroke Best Practice Recommendations Telestroke guideline is a comprehensive summary of current evidence-based and consensus-based recommendations appropriate for use by all healthcare providers and system planners who organize and provide care to patients following stroke across a broad range of settings. These recommendations focus on the use of telemedicine technologies to rapidly identify and treat appropriate patients with acute thrombolytic therapies in hospitals without stroke specialized expertise; select patients who require to immediate transfer to stroke centers for Endovascular Therapy; and for the patients who remain in community hospitals to facilitate their care on a stroke unit and provide remote access to stroke prevention and rehabilitation services. While these latter areas of Telestroke application are newer, they are rapidly developing, with new opportunities that are yet unrealized. Virtual rehabilitation therapies offer patients the opportunity to participate in rehabilitation therapies, supervised by physical and occupational therapists. While not without its limitations (e.g., access to telecommunications in remote areas, fragmentation of care), the evidence-to-date sets the foundation for improving access to care and management for patients during both the acute phase and now through post stroke recovery.

OFF SITE MULTICENTER IN AMBULANCE TELESTROKE A FEASIBILITY STUDY IN TWO BELGIAN ACADEMIC HOSPITALS

OFF SITE MULTICENTER IN AMBULANCE TELESTROKE  A FEASIBILITY STUDY IN TWO BELGIAN ACADEMIC HOSPITALS Book
Author : Laetitia Yperzeele
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Background and AimsIn-ambulance telemedicine is a promising and scalable approach bringing medical experts virtually to the patientsu2019 location. MethodThe AP19-IATS project has a prospective, multi-center observational design. It aims to implement 24/7 in-ambulance telestroke care in 2 academic hospitals, supported by a group of 6 independent teleconsultants (all senior neurovascular experts) operating from different sites in and outside Belgium. All patients >18 yo, with suspicion of acute stroke and symptom onset

Teleneurology

Teleneurology Book
Author : Richard Wootton,Victor Patterson
Publisher : CRC Press
Release : 2005-04-12
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Teleneurology is the use of telecommunications to improve the delivery of neurology services. A wide range of telecommunications techniques may be used, including the telephone, email, the Internet and videoconferencing. Teleneurology can improve access to specialist neurological services for patients all over the world. Teleneurology also deals with more specialized fields that are of interest to the neurological practitioner, such as neurophysiology and neuroradiology. The book combines comprehensive reviews of each topic with practical advice on all available telemedicine techniques and on navigating the Internet for the most up-to-date neurological information. The fifth in a line of best selling telemedicine titles edited by Richard Wootton, Teleneurology is written by experts from four continents, providing a succinct introduction to teleneurology. It should prove invaluable for practising neurologists in particular, but also for general practitioners, paramedical staff, health service managers and IT staff.

Understanding Telehealth

Understanding Telehealth Book
Author : Karen Rheuban,Elizabeth A. Krupinski
Publisher : McGraw Hill Professional
Release : 2017-12-22
ISBN : 1259837416
Language : En, Es, Fr & De

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Book Description :

The first complete guide to the rapidly expanding field of telehealth From email to videoconferencing, telehealth puts real-time healthcare solutions at patients’ and clinicians’ fingertips. Every year, the field continues to evolve, enhancing access to healthcare, supporting clinicians, and improving the patient experience. However, since telehealth is in its infancy, no text has offered a comprehensive, definitive survey of this up-and-coming field—until now. Written by past presidents of the American Telemedicine Association, Understanding Telehealth explains how clinical applications leveraging telehealth technology are optimizing healthcare delivery. In addition, this timely resource examines the bedrock principles of telehealth and highlights the safety standards involved in the diagnosis and treatment of patients through digital communications. Logically organized and supported by high-yield clinical vignettes, the book begins with essential background information, including a look at telehealth history, definitions and roles, and rural health. It then provides an overview of clinical services for adults, from telestroke to telepsychiatry. The third section addresses pediatric clinical services, encompassing pediatric emergency and critical care, telecardiology, and more. A groundbreaking resource: •Chapters cover a broad spectrum of technologies, evidence-based guidelines, and application of telehealth across the healthcare continuum •Ideal for medical staff, public healthcare executives, hospitals, clinics, payors, healthcare advocates, and researchers alike •Incisive coverage of the legal and regulatory environment underpinning telehealth practice

Illinois Stroke Task Force Annual Report to the General Assembly

Illinois Stroke Task Force Annual Report to the General Assembly Book
Author : Anonim
Publisher : Unknown
Release : 2010
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Download Illinois Stroke Task Force Annual Report to the General Assembly book written by , available in PDF, EPUB, and Kindle, or read full book online anywhere and anytime. Compatible with any devices.

Issues in CNS Diseases and Disorders 2011 Edition

Issues in CNS Diseases and Disorders  2011 Edition Book
Author : Anonim
Publisher : ScholarlyEditions
Release : 2012-01-09
ISBN : 1464965900
Language : En, Es, Fr & De

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Book Description :

Issues in CNS Diseases and Disorders / 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about CNS Diseases and Disorders. The editors have built Issues in CNS Diseases and Disorders: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about CNS Diseases and Disorders in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in CNS Diseases and Disorders: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

Neuroscience

Neuroscience Book
Author : Anne W. Alexandrov
Publisher : Critical Care Nursing Clinics
Release : 2009
ISBN : 9781437712056
Language : En, Es, Fr & De

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Book Description :

This Neuroscience nursing issue, Guest Edited by Anne W. Alexandrov, focuses on: use of acute care Nurse Practitioners in neuroscience critical care; Post-graduate advances practice neurovascular fellowship education and training; NET SMART; management of Traumatic Brain Injury; management of Subarachnoid Hemorrhage; management of Hyperacute Ischemic Stroke; Telestroke Systems; Antiplatelet Therapy' Migraine and Intracardiac Right to Left Shunt; Weight agreement in Ischemic Stroke Treatment; Inflammatory biomarkers for Ischemic Stroke; and glycemic control in neurovascular disease.

MODELLING STROKE NETWORKS WITH TELEMEDICINE IN 4 ITALIAN REGIONS

MODELLING STROKE NETWORKS WITH TELEMEDICINE IN 4 ITALIAN REGIONS  Book
Author : Anonim
Publisher : Unknown
Release : 2017
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Background: 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.The ESO Telestroke recommendations described the main rules according to those a Telestroke network may be efficient and sustainable. Italy has large underpopulated areas with wide seasonal population variability not having active stroke care. Three hospital categories are identified to be part of a hub-and-spoke network: (1) the Telemedicine Stroke Centre (an European Stroke Organisation 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 Organisation 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).Objective: The national Italian coverage for Stroke unit services was demonstrated not homogeneous (Bernetti 2018). A group of Italian experts (ESO Telestroke attendees in Munich on July 2018) selected in 4 Italian regions (Tuscany, Emilia-Romagna, Lazio, and Umbria) specific areas underserved in the local stroke networks. We suggested a coverage of these areas using a Telestroke Units (TSU) network and/or Telethrombolysis units (TTU), Telemedicine assisted stroke ready hospitals (TSRH) according to the ESO recommendations (Hubert 2018).Methods: When choosing the right service for a telestroke network two rules should be applied: (1) the TSU should treat at least 200 stroke patients per year and (2) acute stroke care should be within reach of 45 min for 90% of the population. Minimum size of an area to be covered by a singlestroke unit can be calculated by the Hubert formula. This is the minimum size of an area to be covered by a single stroke unit. Size is inversely related to population density (population/km2) and stroke incidence (number of strokes/ 100.000/year). Transport times were calculated using google maps simulations.Results: In the 4 regions were identified 4 different isolated areas Lunigiana, Valnerina, Reggio Emilia, Latina. The population density was ranging between 69 and 254 people per sq/km with a considered stroke incidence of 0.0016. The area size range was 566-2256 sq/km. One selected area satisfied criteria 1 (Latina county) and 3 others fulfilled criteria 2 (Reggio-Emilia, Lunigiana, Valnerina).Conclusions access to thrombolysis may be further guaranteed by telemedicine coverage with appropriately deployed TSU and/or TTU. Modeling stroke care with telemedicine networks offers to the stakeholders a chance of understanding the most sustainable solutions for increasing access to stroke care.

Acute Endovascular Treatment Delivery to Ischemic Stroke Patients Transferred Within a Telestroke Network a Retrospective Observational Study

Acute Endovascular Treatment Delivery to Ischemic Stroke Patients Transferred Within a Telestroke Network  a Retrospective Observational Study Book
Author : Anonim
Publisher : Unknown
Release : 2021-04-15
ISBN : 0987650XXX
Language : En, Es, Fr & De

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Book Description :

Background Five randomized controlled trials recently demonstrated efficacy of endovascular treatment in acute ischemic stroke. Telestroke networks can improve stroke care in rural areas but their role in patients undergoing endovascular treatment is unknown. Aim We compared clinical outcomes of endovascular treatment between anterior circulation stroke patients transferred after teleconsultation and those directly admitted to a tertiary stroke center. Methods Data derived from consecutive patients with intracranial large vessel occlusion who underwent endovascular treatment from January 2010 to December 2014 at our tertiary stroke center. We compared baseline characteristics, onset-to-treatment times, symptomatic intracranial hemorrhage, in-hospital mortality, reperfusion (modified Treatment in Cerebral Infarction 2b/3), and favorable functional outcome (modified Rankin scale ≤ 2) at discharge between patients transferred from spoke hospitals and those directly admitted. Results We studied 151 patients who underwent emergent endovascular treatment for anterior circulation stroke: median age 70 years (interquartile range, 62–75); 55% men; median National Institutes of Health Stroke Scale score 15 (12–20). Of these, 48 (31.8%) patients were transferred after teleconsultation and 103 (68.2%) were primarily admitted to our emergency department. Transferred patients were younger (p = 0.020), received more frequently intravenous tissue plasminogen activator (p = 0.008), had prolonged time from stroke onset to endovascular treatment initiation (p