View in EDS HTML Full Text PDF Full Text

Video Consultation in Prehospital Stroke Care: Results From a Pilot Feasibility Study.

Saved in:
Bibliographic Details
Title: Video Consultation in Prehospital Stroke Care: Results From a Pilot Feasibility Study.
Authors: Omran, Lise-Lotte (AUTHOR), Andersson Hagiwara, Magnus (AUTHOR), Maurin Söderholm, Hanna (AUTHOR), Kindström, Robin (AUTHOR), Sjöqvist, Bengt-Arne (AUTHOR), Nordanstig, Annika (AUTHOR), Fee, Dominic B. (AUTHOR)
Source: Acta Neurologica Scandinavica. 6/22/2026, Vol. 2026, p1-8. 8p.
Subjects: Telemedicine, Medical triage, Neurologists, Arterial occlusions, Emergency medical services, Thrombectomy, Emergency nurses
Abstract: Introduction: Timely prehospital stroke assessment and accurate triage are essential for improving patient outcomes, especially for those eligible for thrombectomy due to large vessel occlusion (LVO). This pilot study explores the feasibility of video consultations between ambulance nurses (ANs) and stroke neurologists to enhance decision‐making in the prehospital stroke care pathway. Methods: A prospective observational cohort study was conducted over 12 months. Patients with suspected stroke were assigned to either video‐assisted ambulances (n = 19) or standard ambulances (n = 44). The primary outcome was direct transport to the comprehensive stroke center (CSC). Secondary outcomes included prehospital time intervals and time to stroke treatment. Statistical analyses were performed using Mann–Whitney U and Fisher's exact tests, with p < 0.05 considered significant. Results: Patients in the video group had significantly longer transport times to the hospital (median 31 min vs. 17 min, p < 0.05), reflecting geographic differences. However, total prehospital time and time to treatment did not differ significantly. A higher proportion of video group patients were transported directly to the CSC (9/19 [47%] vs. 13/44 [30%], p = 0.25). No patients in the video group required secondary transport, whereas 5/44 (11%) in the nonvideo group did. Thrombectomy rates were similar between groups (4/19 [21%] vs. 10/44 [23%], p = 1.00). However, among patients who underwent thrombectomy, a higher proportion in the video group were transported directly to the CSC, without requiring secondary transfer. Conclusion: Video consultations between ANs and neurologists may be feasible in terms of clinical workflow. The primary outcome, direct transport to the CSC, was higher in the video group, indicating potentially improved triage accuracy, and importantly, the intervention did not prolong on‐scene time. Video support may reduce delays associated with secondary transport. Although the sample size limits statistical power, these initial findings warrant further investigation through larger studies to evaluate the impact of video support on clinical outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Acta Neurologica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 194783795
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Video Consultation in Prehospital Stroke Care: Results From a Pilot Feasibility Study.
– Name: Author
  Label: Authors
  Group: Au
  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Omran%2C+Lise-Lotte%22&quot;&gt;Omran, Lise-Lotte&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Andersson+Hagiwara%2C+Magnus%22&quot;&gt;Andersson Hagiwara, Magnus&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Maurin+S&#246;derholm%2C+Hanna%22&quot;&gt;Maurin S&#246;derholm, Hanna&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Kindstr&#246;m%2C+Robin%22&quot;&gt;Kindstr&#246;m, Robin&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Sj&#246;qvist%2C+Bengt-Arne%22&quot;&gt;Sj&#246;qvist, Bengt-Arne&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Nordanstig%2C+Annika%22&quot;&gt;Nordanstig, Annika&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Fee%2C+Dominic+B%2E%22&quot;&gt;Fee, Dominic B.&lt;/searchLink&gt; (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Acta+Neurologica+Scandinavica%22&quot;&gt;Acta Neurologica Scandinavica&lt;/searchLink&gt;. 6/22/2026, Vol. 2026, p1-8. 8p.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Telemedicine%22&quot;&gt;Telemedicine&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+triage%22&quot;&gt;Medical triage&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Neurologists%22&quot;&gt;Neurologists&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Arterial+occlusions%22&quot;&gt;Arterial occlusions&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Emergency+medical+services%22&quot;&gt;Emergency medical services&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Thrombectomy%22&quot;&gt;Thrombectomy&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Emergency+nurses%22&quot;&gt;Emergency nurses&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Introduction: Timely prehospital stroke assessment and accurate triage are essential for improving patient outcomes, especially for those eligible for thrombectomy due to large vessel occlusion (LVO). This pilot study explores the feasibility of video consultations between ambulance nurses (ANs) and stroke neurologists to enhance decision‐making in the prehospital stroke care pathway. Methods: A prospective observational cohort study was conducted over 12 months. Patients with suspected stroke were assigned to either video‐assisted ambulances (n = 19) or standard ambulances (n = 44). The primary outcome was direct transport to the comprehensive stroke center (CSC). Secondary outcomes included prehospital time intervals and time to stroke treatment. Statistical analyses were performed using Mann–Whitney U and Fisher&#39;s exact tests, with p &lt; 0.05 considered significant. Results: Patients in the video group had significantly longer transport times to the hospital (median 31 min vs. 17 min, p &lt; 0.05), reflecting geographic differences. However, total prehospital time and time to treatment did not differ significantly. A higher proportion of video group patients were transported directly to the CSC (9/19 [47%] vs. 13/44 [30%], p = 0.25). No patients in the video group required secondary transport, whereas 5/44 (11%) in the nonvideo group did. Thrombectomy rates were similar between groups (4/19 [21%] vs. 10/44 [23%], p = 1.00). However, among patients who underwent thrombectomy, a higher proportion in the video group were transported directly to the CSC, without requiring secondary transfer. Conclusion: Video consultations between ANs and neurologists may be feasible in terms of clinical workflow. The primary outcome, direct transport to the CSC, was higher in the video group, indicating potentially improved triage accuracy, and importantly, the intervention did not prolong on‐scene time. Video support may reduce delays associated with secondary transport. Although the sample size limits statistical power, these initial findings warrant further investigation through larger studies to evaluate the impact of video support on clinical outcomes. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: &lt;i&gt;Copyright of Acta Neurologica Scandinavica is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194783795
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1155/ane/8271592
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1
    Subjects:
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Medical triage
        Type: general
      – SubjectFull: Neurologists
        Type: general
      – SubjectFull: Arterial occlusions
        Type: general
      – SubjectFull: Emergency medical services
        Type: general
      – SubjectFull: Thrombectomy
        Type: general
      – SubjectFull: Emergency nurses
        Type: general
    Titles:
      – TitleFull: Video Consultation in Prehospital Stroke Care: Results From a Pilot Feasibility Study.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Omran, Lise-Lotte
      – PersonEntity:
          Name:
            NameFull: Andersson Hagiwara, Magnus
      – PersonEntity:
          Name:
            NameFull: Maurin Söderholm, Hanna
      – PersonEntity:
          Name:
            NameFull: Kindström, Robin
      – PersonEntity:
          Name:
            NameFull: Sjöqvist, Bengt-Arne
      – PersonEntity:
          Name:
            NameFull: Nordanstig, Annika
      – PersonEntity:
          Name:
            NameFull: Fee, Dominic B.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 22
              M: 06
              Text: 6/22/2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 00016314
          Numbering:
            – Type: volume
              Value: 2026
          Titles:
            – TitleFull: Acta Neurologica Scandinavica
              Type: main
ResultId 1