Changing stroke rehab and research worldwide now.Time is Brain!Just think of all the trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 493 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.
My back ground story is here:http://oc1dean.blogspot.com/2010/11/my-background-story_8.html

Monday, November 5, 2018

Efficiency in stroke management from acute care to rehabilitation: bedside versus telemedicine consultation

It should make zero difference. Based upon the objective damage diagnosis that should lead directly to prescriptions for stroke protocols. But NO, your incompetent doctor doesn't even know what is being done to treat you. S/he is writing three prescriptions to OT, PT and ST saying E.T.(Evaluate and Treat). I think a doctor should be responsible enough to know exactly what stroke rehab is being done and the efficacy of that rehab.

Efficiency in stroke management from acute care to rehabilitation: bedside versus telemedicine consultation


BACKGROUND:Telemedicine has changed over the last years, becoming an integrated service used in various clinical settings such as stroke units or radiological departments, but also as an important tool for home rehabilitation. Assessment of usefulness and efficiency of performing teleconsultations to manage stroke from acute care hospital to tertiary care rehabilitation hospital has not been referred by scientific literature. 
AIM:This article analyzes the process of discharging stroke patients from acute care to intensive rehabilitation, based on the comparison between conventional bedside patient evaluations and teleconsultation patient evaluations, to assess efficiency and efficacy of two different discharging workflows. 
DESIGN:Retrospective study. 
SETTING:Consultations were carried out between the Acute Care Stroke Unit (ACSU) and the Stroke Rehabilitation Unit (SRU) of Valduce Hospital System. 
POPULATION:257 stroke patients underwent physiatric consultation during 2 years considered in this study and 101 patients were considered eligible for intensive rehabilitation treatment after a physiatric consultation. 
METHODS:we compared the efficiency and efficacy of the dismission workflow of bedside medical consultation and teleconsultation over a 12 months period. We considered the following outcome measures: time elapsed between consultation and rehabilitation unit admission, number of re-admissions to acute care hospital, complications occurred during rehabilitation, length of stay in the rehabilitation hospital and clinical outcomes of rehabilitation process. 
RESULTS:we observed a significant reduction in waiting time from the acute event to the admission in rehabilitation department, an improvement in efficiency of the admission process itself in the rehabilitation unit and a reduction of clinical complications occurred during rehabilitation period, without changes in rehabilitative outcomes. 
CONCLUSIONS:it has been highlighted that the use of telemedicine to perform medical consultation as a tool to evaluate patients eligible for tertiary care rehabilitation hospital admission from stroke care unit is feasible and more efficient when compared with conventional bedside consultations. 
CLINICAL REHABILITATION IMPACT:this study reveals teleconsultations as a useful tool to improve efficiency of the stroke management workflow.(Yeah when all you are doing is writing E.T. three times on a prescription pad there really is no need to even see the patient.)

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