Articles
Direct stroke unit access versus a hub-and-spoke model with telemedicine-assisted CT
Timely access to reperfusion therapy is critical in acute ischaemic stroke, with intravenous thrombolysis within the first 60 min (“golden hour”) yielding the greatest clinical benefit.
Marked intra-national inequities in rapid accessibility to stroke care persist. Leveraging CT-equipped hospitals with telemedicine could enable timelier thrombolysis within a hub-and-spoke model. Open questions regarding implementation and economics should be investigated.
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