Telemedicine in stroke patients during the COVID-19 pandemic: Literature Review

Indra Pradani; Sulistyani Sulistyani

doi:10.31101/ijhst.v5i2.3338

Authors

Indra Pradani Universitas Muhammadiyah Surakarta, Indonesia
Sulistyani Sulistyani Universitas Muhammadiyah Surakarta, Indonesia

DOI:

https://doi.org/10.31101/ijhst.v5i2.3338

Abstract

The effectiveness of stroke therapy depends on speed, accuracy and a multidisciplinary approach. The era of the COVID-19 pandemic has caused a high risk of treatment for stroke patients. The application of telemedicine or telestroke that is good and focuses on quality is a possible alternative for stroke therapy during the COVID-19 pandemic. This study aims to determine the effectiveness of telemedicine in stroke patients during the COVID-19 pandemic. This study used a systematic review research design, namely by searching journal articles on Google Scholar, PubMed, and Research Gate databases, using keywords ("Telemedicine" OR "Tele stroke") AND ("stroke" OR "strokes" OR "cerebrovascular accident" OR "cerebral stroke") AND ("COVID 19" OR "COVID-19 Virus Disease" OR COVID19 OR "Coronavirus disease 2019"). Based on searching and searching for journal articles in 2019 - 2021, 131 journals were obtained from PubMed, 90 journals from ResearchGate, and 1000 journals from Google Scholar. A total of 1221 journals were obtained, and 8 scientific articles fit the inclusion criteria. It can be concluded that the application of telemedicine in stroke patients during the COVID-19 pandemic has been implemented in various countries with evidence that it can reduce comorbidities, improve clinical outcomes, and reduce the recurrence of stroke patients. Telemedicine can be applied to stroke patients with clear diagnosis criteria, a multidisciplinary approach, and a complete infrastructure.

References

Ali, F., Hamid, U., Zaidat, O., Bhatti, D., & Kalia, J. S. (2020). Role of artificial intelligence in TeleStroke: an overview. Frontiers in Neurology, 11, 559322.

Badan Penelitian dan Pengembangan Kesehatan Departemen Kesehatan. (2018). Laporan Nasional Riskesdas 2018. In Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/

Baraban, E., Lucas, L., & Bhatt, A. (2018). Initial Presenting Stroke Symptoms Impact Treatment Timeline Among Ischemic Stroke Patients (P4. 233). AAN Enterprises.

D’Anna, L., Ellis, N., Bentley, P., Brown, Z., Halse, O., Jamil, S., Jenkins, H., Malik, A., Kalladka, D., & Kwan, J. (2021). Delivering telemedicine consultations for patients with transient ischaemic attack during the COVID‐19 pandemic in a comprehensive tertiary stroke centre in the United Kingdom. European Journal of Neurology, 28(10), 3456–3460.

Fonarow, G. C., Smith, E. E., Saver, J. L., Reeves, M. J., Hernandez, A. F., Peterson, E. D., Sacco, R. L., & Schwamm, L. H. (2011). Improving door-to-needle times in acute ischemic stroke: the design and rationale for the American Heart Association/American Stroke Association’s Target: Stroke initiative. Stroke, 42(10), 2983–2989.

Harahsheh, E., English, S. W., Hrdlicka, C. M., & Demaerschalk, B. (2022). Telestroke’s Role Through the COVID-19 Pandemic and Beyond. Current Treatment Options in Neurology, 24(11), 589–603.

Huang, J. F., Greenway, M. R. F., Nasr, D. M., Chukwudelunzu Sr, F. E., Demaerschalk, B. M., O’Carroll, C. B., Nord, C. A., Pahl, E. A., Barrett, K. M., & Williams, L. N. (2020). Telestroke in the time of COVID-19: the Mayo Clinic experience. Mayo Clinic Proceedings, 95(8), 1704–1708.

Hubert, G. J., Corea, F., & Schlachetzki, F. (2021). The role of telemedicine in acute stroke treatment in times of pandemic. Current Opinion in Neurology, 34(1), 22–26.

Indonesia, K. K. R. (2019). Peraturan Menteri Kesehatan Republik Indonesia Nomor 20 Tahun 2019 Tentang Penyelenggaraan Pelayanan Telemedicine Antar Fasilitas Kesehatan. https://peraturan.bpk.go.id/Details/138613/permenkes-no-20-tahun-2019

Kamal, N., Holodinsky, J. K., Stephenson, C., Kashayp, D., Demchuk, A. M., Hill, M. D., Vilneff, R. L., Bugbee, E., Zerna, C., & Newcommon, N. (2017). Improving door-to-needle times for acute ischemic stroke: effect of rapid patient registration, moving directly to computed tomography, and giving alteplase at the computed tomography scanner. Circulation: Cardiovascular Quality and Outcomes, 10(1), e003242.

Kijpaisalratana, N., Chutinet, A., Akarathanawat, W., Vongvasinkul, P., & Suwanwela, N. C. (2020). Outcomes of thrombolytic therapy in acute ischemic stroke: mothership, drip-and-ship, and ship-and-drip paradigms. BMC Neurology, 20(1), 1–7.

Kolikonda, M. K., Blaginykh, E., Brown, P., Kovi, S., Zhang, L. Q., & Uchino, K. (2022). Virtual rounding in stroke care and neurology education during the COVID-19 pandemic-a residency program survey. Journal of Stroke and Cerebrovascular Diseases, 31(1), 106177.

Koonin, L. M., Hoots, B., Tsang, C. A., Leroy, Z., Farris, K., Jolly, B., Antall, P., McCabe, B., Zelis, C. B. R., & Tong, I. (2020). Trends in the use of telehealth during the emergence of the COVID-19 pandemic—United States, January–March 2020. Morbidity and Mortality Weekly Report, 69(43), 1595.

Kuriakose, D., & Xiao, Z. (2020). Pathophysiology and treatment of stroke: present status and future perspectives. International Journal of Molecular Sciences, 21(20), 7609.

Lazarus, G., Permana, A. P., Nugroho, S. W., Audrey, J., Wijaya, D. N., & Widyahening, I. S. (2020). Telestroke strategies to enhance acute stroke management in rural settings: a systematic review and meta‐analysis. Brain and Behavior, 10(10), e01787.

Leira, E. C., Russman, A. N., Biller, J., Brown, D. L., Bushnell, C. D., Caso, V., Chamorro, A., Creutzfeldt, C. J., Cruz-Flores, S., & Elkind, M. S. V. (2020). Preserving stroke care during the COVID-19 pandemic: potential issues and solutions. Neurology, 95(3), 124–133.

Levine, S. R., & Gorman, M. (1999). “Telestroke” the application of telemedicine for stroke. Stroke, 30(2), 464–469.

Liu, Z., Zhao, Y., Liu, D., Guo, Z.-N., Jin, H., Sun, X., Yang, Y., Sun, H., & Yan, X. (2018). Effects of nursing quality improvement on thrombolytic therapy for acute ischemic stroke. Frontiers in Neurology, 9, 1025.

Mutiarasari, D. (2019). Ischemic stroke: symptoms, risk factors, and prevention. Medika Tadulako: Jurnal Ilmiah Kedokteran Fakultas Kedokteran Dan Ilmu Kesehatan, 6(1), 60–73.

Nelson, R. E., Saltzman, G. M., Skalabrin, E. J., Demaerschalk, B. M., & Majersik, J. J. (2011). The cost-effectiveness of telestroke in the treatment of acute ischemic stroke. Neurology, 77(17), 1590–1598.

Nguyen-Huynh, M. N., Tang, X. N., Vinson, D. R., Flint, A. C., Alexander, J. G., Meighan, M., Burnett, M., Sidney, S., & Klingman, J. G. (2020). Acute stroke presentation, care, and outcomes in community hospitals in Northern California during the COVID-19 pandemic. Stroke, 51(10), 2918–2924.

Pandian, J. D., Kusuma, Y., Kiemas, L. S., Lee, T.-H., Navarro, J. C., Nilanont, Y., Suwanwela, N. C., Chiu, H.-C., Kwon, S.-U., & Tan, K. S. (2021). Stroke care during the COVID-19 pandemic: Asian stroke advisory panel consensus statement. Journal of Stroke Medicine, 4(1), 7–14.

Pines, A. R., Das, D. M., Bhatt, S. K., Shiue, H. J., Dawit, S., Vanderhye, V. K., & Sands, K. A. (2020). Identifying and addressing barriers to systemic thrombolysis for acute ischemic stroke in the inpatient setting: a quality improvement initiative. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 4(6), 657–666.

Ruff, I. M., Liberman, A. L., Caprio, F. Z., Maas, M. B., Mendelson, S. J., Sorond, F. A., Bergman, D., Bernstein, R. A., Curran, Y., & Prabhakaran, S. (2017). A resident boot camp for reducing door-to-needle times at academic medical centers. Neurology: Clinical Practice, 7(3), 237–245.

Sevilis, T., McDonald, M., Avila, A., Heath, G., Gao, L., O’Brien, G., Zaman, M., Heller, A., Masud, M., & Mowzoon, N. (2022). Telestroke: maintaining quality acute stroke care during the COVID-19 pandemic. Telemedicine and E-Health, 28(4), 481–485.

Siegler, J. E., Heslin, M. E., Thau, L., Smith, A., & Jovin, T. G. (2020). Falling stroke rates during COVID-19 pandemic at a comprehensive stroke center. Journal of Stroke and Cerebrovascular Diseases, 29(8), 104953.

Vollmuth, C., Miljukov, O., Abu‐Mugheisib, M., Angermaier, A., Barlinn, J., Busetto, L., Grau, A. J., Guenther, A., Gumbinger, C., & Hubert, N. (2021). Impact of the coronavirus disease 2019 pandemic on stroke teleconsultations in Germany in the first half of 2020. European Journal of Neurology, 28(10), 3267–3278.

Wechsler, L. R., Demaerschalk, B. M., Schwamm, L. H., Adeoye, O. M., Audebert, H. J., Fanale, C. V, Hess, D. C., Majersik, J. J., Nystrom, K. V, & Reeves, M. J. (2017). Telemedicine quality and outcomes in stroke: a scientific statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 48(1), e3–e25.

Zachrison, K. S., Sharma, R., Wang, Y., Mehrotra, A., & Schwamm, L. H. (2021). National trends in telestroke utilization in a US commercial platform prior to the COVID-19 pandemic. Journal of Stroke and Cerebrovascular Diseases, 30(10), 106035.

Zaheer, Z., Robinson, T., & Mistri, A. K. (2011). Thrombolysis in acute ischaemic stroke: an update. Therapeutic Advances in Chronic Disease, 2(2), 119–131.