{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T02:05:47Z","timestamp":1792807547539,"version":"4.5.0"},"reference-count":30,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T00:00:00Z","timestamp":1493164800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Stroke"],"published-print":{"date-parts":[[2017,10]]},"abstract":"<jats:p>Every year, approximately 62,000 people with stroke and transient ischemic attack are treated in Canadian hospitals. The 2016 update of the Canadian Stroke Best Practice Recommendations Telestroke guideline is a comprehensive summary of current evidence-based and consensus-based recommendations appropriate for use by all healthcare providers and system planners who organize and provide care to patients following stroke across a broad range of settings. These recommendations focus on the use of telemedicine technologies to rapidly identify and treat appropriate patients with acute thrombolytic therapies in hospitals without stroke specialized expertise; select patients who require to immediate transfer to stroke centers for Endovascular Therapy; and for the patients who remain in community hospitals to facilitate their care on a stroke unit and provide remote access to stroke prevention and rehabilitation services. While these latter areas of Telestroke application are newer, they are rapidly developing, with new opportunities that are yet unrealized. Virtual rehabilitation therapies offer patients the opportunity to participate in rehabilitation therapies, supervised by physical and occupational therapists. While not without its limitations (e.g., access to telecommunications in remote areas, fragmentation of care), the evidence-to-date sets the foundation for improving access to care and management for patients during both the acute phase and now through post stroke recovery.<\/jats:p>","DOI":"10.1177\/1747493017706239","type":"journal-article","created":{"date-parts":[[2017,4,26]],"date-time":"2017-04-26T04:58:04Z","timestamp":1493182684000},"page":"886-895","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":68,"title":["Canadian Stroke Best Practice Recommendations: Telestroke Best Practice Guidelines Update 2017"],"prefix":"10.1177","volume":"12","author":[{"given":"Dylan","family":"Blacquiere","sequence":"first","affiliation":[{"name":"Department of Neurology, Saint John Regional Hospital, New Brunswick, Canada"},{"name":"Faculty of Medicine, Dalhousie University, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M Patrice","family":"Lindsay","sequence":"additional","affiliation":[{"name":"Heart and Stroke Foundation, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norine","family":"Foley","sequence":"additional","affiliation":[{"name":"Workhorse Consulting, London, Ontario, Canada"},{"name":"Western University, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Taralson","sequence":"additional","affiliation":[{"name":"University Hospital, Edmonton, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Alcock","sequence":"additional","affiliation":[{"name":"Manitoba Health, Winnipeg, Manitoba, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Balg","sequence":"additional","affiliation":[{"name":"CHU de Qu\u00e9bec\u2014Universit\u00e9 Laval, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjit","family":"Bhogal","sequence":"additional","affiliation":[{"name":"Workhorse Consulting, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Health, Charlottetown, Prince Edward Island, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marsha","family":"Eustace","sequence":"additional","affiliation":[{"name":"Health Sciences Centre, St. John\u2019s, Newfoundland and Labrador, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Gallagher","sequence":"additional","affiliation":[{"name":"Department of Neurology, Saint John Regional Hospital, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoinette","family":"Ghanem","sequence":"additional","affiliation":[{"name":"Resau Universitaire de Sante McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Hoechsmann","sequence":"additional","affiliation":[{"name":"Island Health, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gary","family":"Hunter","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Neurology, Neurology and Neurocritical Care, University of Saskatchewan, Saskatoon, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khurshid","family":"Khan","sequence":"additional","affiliation":[{"name":"University Hospital, Edmonton, Alberta, Canada"},{"name":"University of Alberta, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alier","family":"Marrero","sequence":"additional","affiliation":[{"name":"Dr. Georges-L.-Dumont University Hospital Centre, Moncton, New Brunswick, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Moses","sequence":"additional","affiliation":[{"name":"Yarmouth Regional Hospital, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelley","family":"Rayner","sequence":"additional","affiliation":[{"name":"Queen Elizabeth Hospital, Charlottetown, Prince Edward Island, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Samis","sequence":"additional","affiliation":[{"name":"Quinte Health Care, Belleville Ontario, Canada"},{"name":"Queen\u2019s University, Kingston, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Smitko","sequence":"additional","affiliation":[{"name":"Heart and Stroke Foundation, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marilyn","family":"Vibe","sequence":"additional","affiliation":[{"name":"Ontario Telemedicine Network, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gord","family":"Gubitz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dalhousie University, Nova Scotia, Canada"},{"name":"Queen Elizabeth II Health Sciences Centre, Capital District Health Authority, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dariush","family":"Dowlatshahi","sequence":"additional","affiliation":[{"name":"The Ottawa Hospital Stroke Program, Canada"},{"name":"Faculty of Medicine, University of Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Phillips","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Dalhousie University, Nova Scotia, Canada"},{"name":"Queen Elizabeth II Health Sciences Centre, Capital District Health Authority, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank L","family":"Silver","sequence":"additional","affiliation":[{"name":"University Health Network Stroke Program, Toronto, Ontario, Canada"},{"name":"Faculty of Medicine, University of Toronto, Toronto, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,26]]},"reference":[{"key":"bibr1-1747493017706239","unstructured":"Canadian Telehealth Report, https:\/\/www.lecsct.ca\/wp-content\/uploads\/2012\/10\/2015-TeleHealth-Public-eBook-Final-10-9-15-secured.pdf (2015, accessed Janurary 11, 2017)."},{"key":"bibr2-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1111\/j.1552-6909.2002.tb00086.x"},{"key":"bibr3-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002207"},{"key":"bibr4-1747493017706239","unstructured":"Lindsay MP GG, Bayley M, Phillips S and Smith EE.\n                      Canadian stroke best practice recommendations overview and methodology. On behalf of the Canadian Stroke Best Practices Advisory Committee and Writing Groups\n                      . Ottawa, ON: Heart and Stroke Foundation, www.strokebestpractices.ca\/wp-content\/uploads\/2010\/10\/CSBPR-2014_Overview-and-Methodology_Fifth-Edition-Final.pdf (2014, accessed January 11, 2017)."},{"key":"bibr5-1747493017706239","doi-asserted-by":"crossref","unstructured":"Guyatt GH, Cook DJ, Jaeschke R, Pauker SG and Schunemann HJ. Grades of recommendation for antithrombotic agents: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition).\n                      Chest\n                      2008; 133: 123s\u2013131s.","DOI":"10.1378\/chest.08-0654"},{"key":"bibr6-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.109.192360"},{"key":"bibr7-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000056945.36583.37"},{"key":"bibr8-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000099125.30731.97"},{"key":"bibr9-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2004.08.014"},{"key":"bibr10-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000153015.57892.66"},{"key":"bibr11-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1258\/135763306776738611"},{"key":"bibr12-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1016\/j.clineuro.2008.01.010"},{"key":"bibr13-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.115.009980"},{"key":"bibr14-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15577531"},{"key":"bibr15-1747493017706239","doi-asserted-by":"crossref","unstructured":"Organised inpatient (stroke unit) care for stroke.\n                      Cochrane Database Syst Rev\n                      2013; 9: CD000197. doi: 10.1002\/14651858.CD000197.pub3.","DOI":"10.1002\/14651858.CD000197.pub3"},{"key":"bibr16-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.114.006141"},{"key":"bibr17-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.09.030"},{"key":"bibr18-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(12)70057-1"},{"key":"bibr19-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(16)30129-6"},{"key":"bibr20-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00163-X"},{"key":"bibr21-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1258\/1357633041424340"},{"key":"bibr22-1747493017706239","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0459"},{"key":"bibr23-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2008.080104"},{"key":"bibr24-1747493017706239","first-page":"CD010255","volume":"12","author":"Laver KE","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr25-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.09.014"},{"key":"bibr26-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.646943"},{"key":"bibr27-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X15571995"},{"key":"bibr28-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2008.0165"},{"key":"bibr29-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000002799"},{"key":"bibr30-1747493017706239","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1601705"}],"container-title":["International Journal of Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1747493017706239","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1747493017706239","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1747493017706239","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:15:14Z","timestamp":1777706114000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1747493017706239"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,4,26]]},"references-count":30,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["10.1177\/1747493017706239"],"URL":"https:\/\/doi.org\/10.1177\/1747493017706239","relation":{},"ISSN":["1747-4930","1747-4949"],"issn-type":[{"value":"1747-4930","type":"print"},{"value":"1747-4949","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,4,26]]}}}