Abstract
PURPOSE: This study evaluates the efficacy of remote neurological assessments through telemedicine in acute stroke care and its impact on patient outcomes. METHODS: A retrospective analysis of telemedicine-enabled acute stroke management in 500 patients over 2 years was conducted. Primary outcomes included door-to-needle time (DTN), thrombolysis rates, and 90-day functional recovery (modified Rankin Scale). RESULTS: Telemedicine interventions reduced DTN to 40 min (SD: ±10), with thrombolysis rates of 75%. Patients assessed through telemedicine showed improved recovery, with 60% achieving functional independence (mRS ≤ 2) compared with 45% in conventional settings (P < 0.01). CONCLUSIONS: Remote neurological assessments through telemedicine enhance acute stroke care by reducing treatment delays and improving patient outcomes, highlighting its potential in expanding access to timely interventions.