{"title":"Application of Telemedicine in the Ambulance for Stroke Patients: A Systematic Review.","authors":"Fatemeh Sarpourian, Milad Ahmadi Marzaleh, Seyed Ali Fatemi Aghda, Zahra Zare","doi":"10.1017/S1049023X23006519","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The use of telemedicine for the prehospital management of emergency conditions, especially stroke, is increasing day by day. Few studies have investigated the applications of telemedicine in Emergency Medical Services (EMS). A comprehensive study of the applications of this technology in stroke patients in ambulances can help to build a better understanding. Therefore, this systematic review was conducted to investigate the use of telemedicine in ambulances for stroke patients in 2023.</p><p><strong>Methods: </strong>A systematic search was conducted in PubMed, Cochrane, Scopus, ProQuest, Science Direct, and Web of Science from 2013 through March 1, 2023. The authors selected the articles based on keywords and criteria and reviewed them in terms of title, abstract, and full text. Finally, the articles that were related to the study aim were evaluated.</p><p><strong>Results: </strong>The initial search resulted in the extraction of 2,795 articles. After review of the articles, and applying the inclusion and exclusion criteria, seven articles were selected for the final analysis. Three (42.85%) studies were on the feasibility and intervention types. Also, randomized trials, feasibility, feasibility and prospective-observational, and feasibility and retrospective-interventional studies were each one (14.28%). Six (85.71%) of the studies were conducted in the United States. The National Institutes of Health Stroke Scale (NIHSS) and RP-Xpress were the most commonly used tools for neurological evaluations and teleconsultations.</p><p><strong>Conclusion: </strong>Remote prehospital consultations, triage, and sending patient data before they go to the emergency department can be provided through telemedicine in ambulances. Neurological evaluations via telemedicine are reliable and accurate, and they are almost equal to in-person evaluations by a neurologist.</p>","PeriodicalId":20400,"journal":{"name":"Prehospital and Disaster Medicine","volume":" ","pages":"774-779"},"PeriodicalIF":2.1000,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Prehospital and Disaster Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S1049023X23006519","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/10/25 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"EMERGENCY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: The use of telemedicine for the prehospital management of emergency conditions, especially stroke, is increasing day by day. Few studies have investigated the applications of telemedicine in Emergency Medical Services (EMS). A comprehensive study of the applications of this technology in stroke patients in ambulances can help to build a better understanding. Therefore, this systematic review was conducted to investigate the use of telemedicine in ambulances for stroke patients in 2023.
Methods: A systematic search was conducted in PubMed, Cochrane, Scopus, ProQuest, Science Direct, and Web of Science from 2013 through March 1, 2023. The authors selected the articles based on keywords and criteria and reviewed them in terms of title, abstract, and full text. Finally, the articles that were related to the study aim were evaluated.
Results: The initial search resulted in the extraction of 2,795 articles. After review of the articles, and applying the inclusion and exclusion criteria, seven articles were selected for the final analysis. Three (42.85%) studies were on the feasibility and intervention types. Also, randomized trials, feasibility, feasibility and prospective-observational, and feasibility and retrospective-interventional studies were each one (14.28%). Six (85.71%) of the studies were conducted in the United States. The National Institutes of Health Stroke Scale (NIHSS) and RP-Xpress were the most commonly used tools for neurological evaluations and teleconsultations.
Conclusion: Remote prehospital consultations, triage, and sending patient data before they go to the emergency department can be provided through telemedicine in ambulances. Neurological evaluations via telemedicine are reliable and accurate, and they are almost equal to in-person evaluations by a neurologist.
引言：远程医疗在院前管理紧急情况，特别是中风方面的应用日益增加。很少有研究调查远程医疗在紧急医疗服务中的应用。全面研究这项技术在救护车中风患者中的应用，有助于更好地理解。因此，本系统综述旨在调查2023年远程医疗在救护车上用于中风患者的情况。方法：从2013年到2023年3月1日，在PubMed、Cochrane、Scopus、ProQuest、Science Direct和Web of Science上进行系统检索。作者根据关键词和标准选择文章，并从标题、摘要和全文等方面对其进行审查。最后，对与研究目的相关的文章进行了评价。结果：初步搜索共提取了2795篇文章。在对文章进行审查并应用纳入和排除标准后，选择了七篇文章进行最终分析。三项（42.85%）研究是关于可行性和干预类型的。此外，随机试验、可行性、可行性和前瞻性观察、可行性和回顾性介入研究各占一项（14.28%）。其中6项（85.71%）研究在美国进行。美国国立卫生研究院中风量表（NIHSS）和RP Xpress是神经评估和远程咨询最常用的工具。结论：可以通过救护车上的远程医疗提供远程院前会诊、分诊和在患者前往急诊科之前发送患者数据。通过远程医疗进行的神经评估是可靠和准确的，它们几乎等同于神经学家的当面评估。
期刊介绍：
Prehospital and Disaster Medicine (PDM) is an official publication of the World Association for Disaster and Emergency Medicine. Currently in its 25th volume, Prehospital and Disaster Medicine is one of the leading scientific journals focusing on prehospital and disaster health. It is the only peer-reviewed international journal in its field, published bi-monthly, providing a readable, usable worldwide source of research and analysis. PDM is currently distributed in more than 55 countries. Its readership includes physicians, professors, EMTs and paramedics, nurses, emergency managers, disaster planners, hospital administrators, sociologists, and psychologists.
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