Telestroke treatment is a crucial tool in improving care for individuals experiencing stroke symptoms who are located far from comprehensive stroke centers. These centers offer advanced neuroendovascular care, including thrombectomy, a minimally invasive procedure that can reopen blocked brain arteries in cases of ischemic stroke.
Research presented at the Society of NeuroInterventional Surgery’s 22nd Annual Meeting highlighted the importance of telestroke programs in bridging the gap in stroke treatment across racial, gender, and socioeconomic lines. Two studies examined the disparities in treatment and recovery outcomes based on race and gender within a large telestroke network. The findings revealed that while men and women were equally likely to receive thrombectomy, there was a discrepancy in the administration of tissue plasminogen activator (tPA) – a medication that breaks up blood clots causing strokes. Additionally, post-stroke rehabilitation outcomes varied, emphasizing the need for further research into long-term recovery disparities.
Another study focused on the impact of neighborhood disadvantage on stroke network performance and neurological outcomes after thrombectomy. Patients from more disadvantaged neighborhoods experienced longer wait times for treatment and poorer health outcomes post-stroke, highlighting the importance of addressing socioeconomic barriers in stroke care.
Dr. Basel Musmar, a postdoctoral research fellow, expressed optimism about the potential of telestroke treatment in mitigating longstanding disparities based on race and gender. However, he emphasized the need for further investigation to ensure optimal outcomes for all individuals. Dr. Joshua Feler, a neurosurgery resident, highlighted the significant role of field triage in reducing disparities in post-stroke health across all socioeconomic levels.
Overall, the studies presented at the meeting underscored the importance of telestroke programs in improving access to specialized stroke care and reducing disparities in treatment outcomes. Further research and efforts to address socioeconomic barriers are crucial in achieving equitable stroke care for all individuals.
