Long-term effects on medical outcome in telemedicine use Telemedic Project for integrative Stroke Care (TEMPiS)
Dr. Gordian Hubert
networks
• teleconsultation only
• telethrombolysis network • integrative stroke network
Stroke Units in Bavaria in 2002
Stroke Unit
Stroke Center Network-Hospital
4
Stroke-Networks in Bavaria STENO
Stroke Unit
TESS
Stroke Center
4
Network-Hospital TESAURUS
TEMPiS
Key features of the TEMPiS-Network Implementation of Stroke wards in each hospital
Training – center-based and onsite
Standard treatment protocols
Exchange of Experience
Quality Management
Teleconsultations
80% 70% 60%
70,1% 64,9%
63,2% 58,6%
54,4%
50%
66,9% 65,9% 63,5% 60,6%
56,4%
55,8% 55,6% 50,9% 50,8% 49,6%
43,3%
40% 30,3% 30% 20% 10%
Q
Pi S
BA
M TE
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0%
6. Teleconsultation – mobile solution
works with fast UMTS = HSDPA (High Speed Downlink Packet Access)
rate of i.v.-thrombolysis with r-tPA Source : number of thrombolysis: TEMPiS-database of teleconsultations; number of ischemic strokes: controlling data of hospitals
504 13,8% 435
number of thrombolytic therapies per year 356
400
12,4%
% of ischemic 10,2 % strokes 249 222 8,3 % 200 161 115 72
8,1 %
ECASS 3
5,4 %
4,4 %
TEMPiS project
3,2 % 10 0,4 %
0
2002
2003
2004
2005
2006
2007
2008
2009
2010
5. Quality Management Hospital mortality
5%
Pneumonia
7%
Door to needle time
