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Initial Brazilian experience of Telestroke for thrombolysis in a community hospital
Critical Care2013Vol. 17(S2)
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CA Abreu Filho, A Caluza, Milton Steinman, Geferson Gustavo Wagner Mota da Silva, Ruy Guilherme Rodrigues Cal, Nelson Akamine, José Teixeira, Antônio Rodrigues de Andrade, E Silva, Alberto Hideki Kanamura, M Cenderoglo, Cláudio Luiz Lottenberg
Abstract
Stroke is the leading cause of death in Brazil, the number of stroke patients receiving thrombolysis therapy in the developing world is extremely low. Prehospital delay, financial constraints, and lack of infrastructure are the main barriers for thrombolysis therapy in developing countries. In this way, telemedicine (TM) allows knowledge transfer of medical expertise to remote community hospitals, where there is a shortage of specialized doctors. The aim of this study is to describe the first Brazilian initiative of a Telestroke Program for therapeutic support and monitoring cases of acute stroke, and venous thrombolysis of eligible cases in a community hospital in Sao Paulo, Brazil.
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