The Role of Telemedicine in Improving Stroke Management

Authors

Isima Precious Omozusi

Sacret Heart University Connecticut (United States)

Okeke Miracle Chidiebere

Department of Internal Medicine, Enugu State University Teaching Hospital (Nigeria)

Ezenwali Somtochukwu Cynthia

Radiation Medicine Department, University College Hospital, Ibadan (Nigeria)

Oladimeji Micheal Ogunmuyiwa

Aspire Houston Fertility Institute (United States)

Article Information

DOI: 10.51244/IJRSI.2025.1210000249

Subject Category: Medicine

Volume/Issue: 12/10 | Page No: 2890-2900

Publication Timeline

Submitted: 2025-10-21

Accepted: 2025-10-27

Published: 2025-11-17

Abstract

The growing demand for timely and high-quality medical services had driven the emergence of telemedicine as an innovative healthcare solution. Telemedicine was defined as the use of technology to deliver patient care remotely, enabling physicians to communicate with and manage patients in distant locations through telecommunications systems without the need for in-person visits. Stroke is recognized as a medical emergency requiring prompt diagnosis and treatment to improve survival and functional outcomes. The purpose of this study was to evaluate the role of telemedicine in enhancing stroke management within the U.S. healthcare system. A systematic review of 16 peer-reviewed articles published in English between 2006 and 2019 was conducted. The selected studies focused exclusively on data derived from the United States. Findings from the review showed that telemedicine significantly reduced treatment times for stroke patients, resulting in better clinical outcomes. It also proved to be a cost-effective approach to delivering rapid and efficient stroke care. The analysis further revealed that approximately 55% of Americans had access to primary stroke care centers within 60 minutes; however, only about half of these hospitals had an on-site neurologist. Telestroke, or stroke-specific telemedicine, emerged as a key strategy for bridging this gap by connecting non-specialized hospitals with neurologists and specialized stroke centers in real time. Despite its effectiveness, further efforts were required to address persistent challenges such as interstate licensing restrictions and technical issues encountered during remote consultations.

Keywords

Telemedicine

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References

1. Almeida, G. A., Ana C., Carlos, B., Fabricio B. S., Felipe, M. G., Guilherme, N., G, W., Leonardo, A. C., Leonardo, M. V., Luiz A. N., Magda, C. O. M., Marico, A. R., & Sheila, C.O. M. (2019). Validation of a Smartphone Application in the Evaluation and Treatment of Acute Stroke in a Comprehensive Stroke Center. American Heart Association Journal, https://www.ahajournals.org/doi/10.1161/STROKEAHA.119.026727 [Google Scholar] [Crossref]

2. Amar, G., Deth, S. (2011). The constitutionality of current legal barriers to telemedicine in the United States. Journal of Law Medicine, Vol. 21 Issue 2, p385-442. 58p. https://eds-a-ebscohost-com.sacredheart.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=c268c773-59b3-4e6f-999b-3f4adaee868e%40sessionmgr4006 [Google Scholar] [Crossref]

3. Audebert, H., Muller-Barna, P. (2012). High-standard telestroke need for experienced stroke experts trained in imaging interpretation. American Academy of Neurology Journal, https://doi.org/10.1212/WNL.0b013e31827f0948 [Google Scholar] [Crossref]

4. Audebert, H. J., Hubert, G., Muller-Barna, P. (2014). Recent Advances in Tele Stroke: A systematic review on applications in prehospital management and stroke unit treatment or telestroke networking in developing countries. International Journal of Stroke, https://doi-org.sacredheart.idm.oclc.org/10.1111%2Fijs.12394 [Google Scholar] [Crossref]

5. Avins, L., Bhopale, S., Eaton, A., Flint, A., Kim, A., Klingman, J., Nguyen-Huynh, M., Rao, V. (2017). Novel Telestroke Program Improves Thrombolysis for Acute Stroke Across 21 Hospitals of an Integrated Healthcare System. American Heart Association Journal, https://www.ahajournals.org/doi/10.1161/STROKEAHA.117.018413 [Google Scholar] [Crossref]

6. Barr, S., Eng, J., Goldsmith, C., Lear, S., Sakakibara, B., Silverberg, N., Yao.J.. (2017). A telehealth intervention to promote healthy lifestyles after stroke: The Stroke Coach protocol. International Journal of Stroke, https://doi-org.sacredheart.idm.oclc.org/10.1177%2F1747493017729266 [Google Scholar] [Crossref]

7. Belt, G.H., Felberg, A.R., Halperin, J., Rubin, J. (2013). In-Transit Telemedicine Speeds Ischemic Stroke Treatment. American Heart Association Journal, doi: 10.1161/STROKEAHA https://doi.org/10.1161/STROKEAHA.116.014270 [Google Scholar] [Crossref]

8. Benjamin,E.J., Muntner,P., Aionso,A., Bittencourt, M.S., Callaway,C.W., Carson,A.P., Chamberlain,A.M., Chang,A.R, Cheng,S., Das,S.R., Delling,F.N., Djousse,L., Elkind, M.S.V., Ferguson,J.F., Fornage,M., Jordan,L.C., Khan,S.S., Kissela,B.M., Knutson,K.L., . . . Virani,S.S. (2019). AHA 2019 Heart Disease and Stroke Statistics: A Report from the American Heart Association. The Journal of the American College of Cardiology. https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000659 [Google Scholar] [Crossref]

9. Bowry R., Grotta, J., Jalingo, A., Parker, S., Thomas, A., Wu, T., Yamal, J., Yu, A. (2017). Telemedicine Can Replace the Neurologist on a Mobile Stroke Unit. American Heart Association Journal, https://www.ahajournals.org/doi/10.1161/STROKEAHA.116.01536 [Google Scholar] [Crossref]

10. Demaerschalk. B., Switzer, J. (2012). Overcoming challenges to Sustain a telestroke network. Journal of Stroke and Cerebrovascular Diseases, https://doi.org/10.1016/j.jstrokecerebrovasdis.2012.06.014 [Google Scholar] [Crossref]

11. Hess, D., Audebert, H.J. (2013). The history and future of telestroke. A nature research Journal, https://doi-org.sacredheart.idm.oclc.org/10.1038/nrneurol.2013.86 [Google Scholar] [Crossref]

12. Hopp, F., Lowery, J., Mackert, M., Whitten, P., Woodbridge, P., Usha, S. (2006). Perspectives from the Veterans Health Administration about opportunities and barriers in telemedicine. Journal of telemedicine and telecare, Vol. 12 (8), pp. 404-9. https://eds-b-ebscohost-com.sacredheart.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=3&sid=eeeea7bd-2767-41a0-8b93-6937e4930d09%40sessionmgr103 [Google Scholar] [Crossref]

13. Peter, L., Olivia, W. (2006). The Challenge of Acute-Stroke Management: Does Telemedicine Offer a Solution? International Journal of Stroke. https://doi-org.sacredheart.idm.oclc.org/10.1111%2Fj.1747-4949.2006.00062.x [Google Scholar] [Crossref]

14. Randy, F. V., Rita, M. M. (2016). Telehealth: Applications from a Legal and Regulatory Perspective. Healthcare and Law Journal. https://eds-a-ebscohost-com.sacredheart.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=5&sid=3ac93d7c-e898-422c-b637-080325f877a1%40sessionmgr4006 [Google Scholar] [Crossref]

15. Sinaha, K., Bettermann, K. (2019). Clinical outcomes of moderate to severe acute ischemic stroke in a telemedicine network. Journal of Clinical Neuroscience, Vol. 69, p160-165, 6p. https://doi-org.sacredheart.idm.oclc.org/10.1016/j.jocn.2019.08.003 [Google Scholar] [Crossref]

16. Switzer, J. A., Thapa, R. J., Wang, Gu., Zhang, D., Zhu, W. (2018). Expansion of Tele stroke Services Improves Quality of Care Provided in Super Rural Areas. Health Affairs Journal, https://search-proquest-com.sacredheart.idm.oclc.org/docview/2151126800?accountid=28645 [Google Scholar] [Crossref]

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