{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T16:37:35Z","timestamp":1789922255339,"version":"4.0.1"},"reference-count":14,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cerebrovasc Dis"],"published-print":{"date-parts":[[2005]]},"abstract":"<i>Background:<\/i> Providing stroke unit treatment for all stroke patients is a cross-national goal as stated in the WHO Helsingborg Declaration. In order to achieve specialized stroke care for a large area, two stroke centers and 12 community hospitals established an integrative stroke network. This evaluation was performed to analyze achieved advances in stroke management. <i>Methods:<\/i> Core network elements are: (1) establishing stroke wards in all hospitals; (2) continuous training in stroke treatment; (3) telemedicine service staffed by a 24 h\/day \u2018strokologist\u2019 with capability for high-speed videoconferencing and transfer of CT\/MRI images. Data were prospectively documented in the databank of the telestroke service, in the Bavarian Stroke Registry and in the controlling departments. <i>Results:<\/i> In 2003, 4,179 stroke patients were admitted to the regional network hospitals. Between February 2003 and January 2004 a total of 2,182 teleconsultations were conducted. 250 teleconsultations yielded a nonvascular diagnosis. Indicators for stroke management quality improved compared with other hospitals without stroke unit: the frequency of CT\/MRI within 3 h was 59% compared to 46%, frequency of speech therapy 36% (21%), and of occupational therapy 38% (12%). Eighty-six (2.1%) of the patients received systemic thrombolysis compared to 10 patients in the preceding year. Mean length of in-hospital stay decreased from 12.4 in 2002 to 9.7 days in 2003. <i>Conclusions:<\/i> This stroke network concept leads to a substantial improvement of stroke management. Telemedicine contributes to an early etiological assessment and fills the gap of specialized stroke expertise in neurologically underserved areas.<\/jats:p>","DOI":"10.1159\/000088064","type":"journal-article","created":{"date-parts":[[2005,9,5]],"date-time":"2005-09-05T08:00:17Z","timestamp":1125907217000},"page":"362-369","source":"Crossref","is-referenced-by-count":41,"title":["Can Telemedicine Contribute to Fulfill WHO Helsingborg Declaration of Specialized Stroke Care?"],"prefix":"10.1159","volume":"20","author":[{"given":"Heinrich J.","family":"Audebert","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin L.J.","family":"Wimmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymund","family":"Hahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Schenkel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Bogdahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Horn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman L.","family":"Haberl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2005,11,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1161%2F01.STR.0000091847.82140.9D"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1161%2F01.STR.0000102043.70312.E9"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1007%2Fs00115-003-1659-2"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1161%2F01.STR.0000153015.57892.66"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1161%2F01.STR.0000099125.30731.97"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1161%2F01.STR.0000056945.36583.37"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1258%2F135763302760314234"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1136%2Fjnnp.71.1.63"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1197%2Fj.aem.2004.08.014"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1001%2Fjama.283.23.3102"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1258%2F1357633991932441"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016%2FS0140-6736%2800%2902679-9"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1161%2F01.STR.0000056529.29515.B2"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1197%2FS1069-6563%2803%2900316-6"}],"container-title":["Cerebrovascular Diseases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/88064","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/88064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:27:54Z","timestamp":1745465274000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000088064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":14,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2005,10,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000088064","archive":["Portico"],"relation":{},"ISSN":["1015-9770","1421-9786"],"issn-type":[{"value":"1015-9770","type":"print"},{"value":"1421-9786","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005]]}}}