{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T12:49:07Z","timestamp":1783428547031,"version":"3.54.6"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T00:00:00Z","timestamp":1649721600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Report on feasibility, use and effects on investigations and treatment of a neurologist\u2010supported stroke clinic in rural Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Data were collected prospectively for consecutive patients referred to atelehealth stroke clinic from November 2018 to August 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Settings, participants and interventions<\/jats:title><jats:p>Patients attended the local hospital, with a rural stroke care coordinator, and were assessed by stroke neurologist over videoconference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The following feasibility outcomes on the first appointments were analysed: (1) utility (a) change in medication, (b) request of additional investigations, (c) enrolment\/offering clinical trials or d) other; (2) acceptability (attendance rate); and (3) process of care (waiting time to first appointment, distance travelled).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the study period, 173 appointments were made; 125 (73.5%) were first appointments. The median age was 70 [63\u201379] years, and 69 patients were male. A diagnosis of stroke or transient ischemic attack was made by the neurologist in 106 patients. A change in diagnosis was made in 23 (18.4%) patients. Of the first appointments, 102 (81.6%) resulted in at least one intervention: medication was changed in 67 (53.6%) patients, additional investigations requested in 72 (57.6%), 15 patients (12%) were referred to a clinical trial, and other interventions were made in 23 patients. The overall attendance rate of booked appointments was high. The median waiting time and distance travelled (round\u2010trip) for a first appointment were 38 [24\u201353] days and 60.8 [25.6\u201376.6] km respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The telestroke clinic was very well attended, and it led to high volume of interventions in rural stroke patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12849","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T13:37:01Z","timestamp":1649770621000},"page":"337-342","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Impact of an outpatient telestroke clinic on management of rural stroke patients"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8843-5890","authenticated-orcid":false,"given":"Carlos","family":"Garcia\u2010Esperon","sequence":"first","affiliation":[{"name":"Department of Neurology John Hunter Hospital  Newcastle New South Wales Australia"},{"name":"College of Health, Medicine, and Wellbeing University of Newcastle  Newcastle New South Wales Australia"},{"name":"Hunter Medical Research Institute  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3147-6477","authenticated-orcid":false,"given":"Beng Lim Alvin","family":"Chew","sequence":"additional","affiliation":[{"name":"Department of Neurology John Hunter Hospital  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Minett","sequence":"additional","affiliation":[{"name":"Department of Nursing Administration Manning Base Hospital  Taree New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Cheah","sequence":"additional","affiliation":[{"name":"Department of Nursing Administration Manning Base Hospital  Taree New South Wales 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School  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher R.","family":"Levi","sequence":"additional","affiliation":[{"name":"Department of Neurology John Hunter Hospital  Newcastle New South Wales Australia"},{"name":"College of Health, Medicine, and Wellbeing University of Newcastle  Newcastle New South Wales Australia"},{"name":"Hunter Medical Research Institute  Newcastle New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil J.","family":"Spratt","sequence":"additional","affiliation":[{"name":"Department of Neurology John Hunter Hospital  Newcastle New South Wales Australia"},{"name":"College of Health, Medicine, and Wellbeing University of Newcastle  Newcastle New South Wales Australia"},{"name":"Hunter Medical Research Institute  Newcastle New South Wales 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