The Clinical Study of the Telemedicine Consultation System in the Diagnosis and Treatment ofthe Coordination of the Regionalization Network for Patients with Acute Ischemic Stroke

Yajun GOU; Jun HU; Yingchun LI; Heng YU; Kangning CHEN

doi:10.16016/j.1000-5404.202006245

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The Clinical Study of the Telemedicine Consultation System in the Diagnosis and Treatment ofthe Coordination of the Regionalization Network for Patients with Acute Ischemic Stroke

更新时间：2026-01-09

- The Clinical Study of the Telemedicine Consultation System in the Diagnosis and Treatment ofthe Coordination of the Regionalization Network for Patients with Acute Ischemic Stroke
- Journal of Third Military Medical University Vol. 42, Issue 19, Pages: 1965-1970(2020)
- 作者机构：
- 作者简介：
- 基金信息：
  
  the General Program of National Natural Science Foundation of China(81873755);Chongqing Shapingba Decision Consultation and Management Innovation Project(JCD201917);the Foundation for Sci & Tech Research Project of Chongqing(cstc2015shmszx120048)
- DOI：10.16016/j.1000-5404.202006245
  CLC：
- Received：29 June 2020，
  
  Published：15 October 2020
- 稿件说明：
移动端阅览
Yajun GOU, Jun HU, Yingchun LI, et al. The Clinical Study of the Telemedicine Consultation System in the Diagnosis and Treatment ofthe Coordination of the Regionalization Network for Patients with Acute Ischemic Stroke[J]. Journal of Third Military Medical University, 2020, 42(19): 1965-1970.
DOI：

Yajun GOU, Jun HU, Yingchun LI, et al. The Clinical Study of the Telemedicine Consultation System in the Diagnosis and Treatment ofthe Coordination of the Regionalization Network for Patients with Acute Ischemic Stroke[J]. Journal of Third Military Medical University, 2020, 42(19): 1965-1970. DOI： 10.16016/j.1000-5404.202006245.

摘要

Abstract

Objective

To explore the clinical application and effect of the telemedicine consultation system in the diagnosis and treatment of the coordination of the regionalization network for patients with acute ischemic stroke.

Methods

A total of 60 patients with acute ischemic stroke admitted to our 2 hospital from January 2017 to December 2019 were enrolled in this study. Those admitted from January 2017 to December 2018 were assigned into control group because of their diagnosis and treatment under the coordination of the regionalization network

and those admitted between January and December 2019 were into observation group due to the performance of the telemedicine consultation system. The first medical contact time (FMCT)

admission to CTA time (door to imaging time

DIT)

and onset to needle time (ONT)

onset to door time (ODT)

door to needle time (DNT)

qualified rate (DNT≤60 min)

intravenous thrombolysis rate

length of hospital stay

incidences of complications

and treatment outcomes were observed and compared between the 2 groups.

Results

In the timeliness of diagnosis and treatment the observation group had significantly shorter DIT (32.10±7.44

61.71±21.38 min)

ONT (166.34±42.37

201.43±56.44 min) and DNT (64.97±14.43

101.02±41.40 min) when compared with the control group (

0.05). What's more

the qualified rate (59.3%

32.1%)

thrombolytic ratio (68.8%

42.0%)

hospitalization time (16.94±8.58

22.14±4.87 d)

complication incidence (6.3%

28.6%) and ratio of clinical outcome (3.1%

21.4%) were all better in observation group than the other group (

0.05).

Conclusion

When the telemedicine consultation system is applied in the diagnosis and treatment of the coordination of the regionalization network

the DIT

DNT and ONT times can be shortened

the thrombolytic ratio can be increased

the prognosis of patients can be improved

and the quality of medical care can be promoted for the patients with acute ischemic stroke.

关键词

Keywords

references

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