Article

The aim of our study was to compare the efficacy and safety of
intravenous thrombolysis of cerebral ischemia as it has been established in a
distant hospital (DH) through telemedicine tools or in neurovascular unit of the
University Hospital of Besancon. METHOD: Our work was conducted retrospectively
at the University Hospital of Besancon from 1 January 2003 to December 31, 2009.
RESULTS: Fibrinolysis was introduced at the university hospital in 98/161
patients (61%) and a DH in remote 63/161 patients (39%). A favorable neurological
outcome (Rankin 0/1) was observed in 27/98 patients (27.5%) treated at University
Hospital and in 25/63 (39.5%) patients in a DH. There was no significant
difference between the two subgroups. Symptomatic hemorrhagic transformation
occurred in 5/98 (5%) patients treated at University Hospital and in 1/63 (1.5%)
patients treated in DH. There was no significant difference between the two
subgroups. CONCLUSION: Our study shows that fibrinolysis remotely using the tools
of telemedicine has, from 2003 to 2009, in Franche-Comte deal effectively and
without risk of a significant proportion of patients.
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Langue : FRANCAIS