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Background <p>Telemedicine is well established in acute stroke care and significantly contributes to widespread access to treatment. In intensive care, telemedicine is increasingly used to reduce mortality and complications. The German Society of Anesthesiology and Intensive Care Medicine (DGAI) also recommends telemedical consultations for neurological indications.</p> Methods <p>The aim of this survey was to assess structure, usage and need for telemedicine consultations for non-neurologically managed intensive care units and to determine whether there is a need to expand telemedicine stroke networks to include neurointensive care. A national cross-sectional survey was conducted, targeting all 22 German telemedicine stroke networks. The survey included 27 questions on structural aspects of intensive care units, the utilization of telemedical consultations and experiences with tele-neurointensive diagnostics and therapy. Additionally, a sub-study was conducted in six spoke hospitals within the telemedicine stroke network East Saxony (SOS-TeleNET).</p> Results <p>Of the 22 networks contacted, 17 (77%) responded. Of these, 11 (65%) regularly received consultation requests from intensive care units, most of which were handled by teleneurologists. The most common indications consisted of ischemic and hemorrhagic strokes, epileptic seizures as well as prognosis assessment and therapy goal adjustments. Several networks indicated interest in expanding telemedicine services for neurological care in intensive care units.</p> Conclusions <p>The survey highlights a notable need for telemedicine neurointensive care consultations. Expanding telemedicine infrastructure in this field could contribute to improving the quality of care.</p>

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Teleneurology expertise in intensive care units across Germany - a nationwide survey

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月24日

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  • Eyad Altarsha,
  • Kristian Barlinn,
  • Albrecht Günther,
  • Hans Worthmann,
  • Karl-Georg Häusler,
  • Christian Urbanek,
  • Benjamin Büchele,
  • Torsten Kraya,
  • Stefan Merkelbach,
  • Mazen Abu-Mugheisib,
  • Bernd Kallmünzer,
  • Philipp Zickler,
  • Florian Schöberl,
  • Jürgen Bardutzky,
  • Julian Bösel,
  • Heinrich J. Audebert,
  • Gordian J. Hubert,
  • Hagen B. Huttner,
  • Christoph Gumbinger,
  • Jessica Barlinn

摘要

Background

Telemedicine is well established in acute stroke care and significantly contributes to widespread access to treatment. In intensive care, telemedicine is increasingly used to reduce mortality and complications. The German Society of Anesthesiology and Intensive Care Medicine (DGAI) also recommends telemedical consultations for neurological indications.

Methods

The aim of this survey was to assess structure, usage and need for telemedicine consultations for non-neurologically managed intensive care units and to determine whether there is a need to expand telemedicine stroke networks to include neurointensive care. A national cross-sectional survey was conducted, targeting all 22 German telemedicine stroke networks. The survey included 27 questions on structural aspects of intensive care units, the utilization of telemedical consultations and experiences with tele-neurointensive diagnostics and therapy. Additionally, a sub-study was conducted in six spoke hospitals within the telemedicine stroke network East Saxony (SOS-TeleNET).

Results

Of the 22 networks contacted, 17 (77%) responded. Of these, 11 (65%) regularly received consultation requests from intensive care units, most of which were handled by teleneurologists. The most common indications consisted of ischemic and hemorrhagic strokes, epileptic seizures as well as prognosis assessment and therapy goal adjustments. Several networks indicated interest in expanding telemedicine services for neurological care in intensive care units.

Conclusions

The survey highlights a notable need for telemedicine neurointensive care consultations. Expanding telemedicine infrastructure in this field could contribute to improving the quality of care.