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(Stroke. 2009;40:2616.)
© 2009 American Heart Association, Inc.

AHA/ASA Scientific Statement

A Review of the Evidence for the Use of Telemedicine Within Stroke Systems of Care

A Scientific Statement From the American Heart Association/American Stroke Association

Lee H. Schwamm, MD, FAHA, Co-Chair; Robert G. Holloway, MD, MPH, Co-Chair; Pierre Amarenco, MD, FAHA; Heinrich J. Audebert, MD; Tamilyn Bakas, RN, DNS, FAHA, FAAN; Neale R. Chumbler, PhD; Rene Handschu, MD; Edward C. Jauch, MD, MS, FAHA; William A. Knight, IV, MD; Steven R. Levine, MD, FAHA; Marc Mayberg, MD, FAHA; Brett C. Meyer, MD; Philip M. Meyers, MD, FAHA; Elaine Skalabrin, MD; Lawrence R. Wechsler, MD, FAHA on behalf of the American Heart Association Stroke Council and the Interdisciplinary Council on Peripheral Vascular Disease
The aim of this new statement is to provide a comprehensive and evidence-based review of the scientific data evaluating the use of telemedicine for stroke care delivery and to provide consensus recommendations based on the available evidence. The evidence is organized and presented within the context of the American Heart Association’s Stroke Systems of Care framework and is classified according to the joint American Heart Association/American College of Cardiology Foundation and supplementary American Heart Association Stroke Council methods of classifying the level of certainty and the class of evidence. Evidence-based recommendations are included for the use of telemedicine in general neurological assessment and primary prevention of stroke; notification and response of emergency medical services; acute stroke treatment, including the hyperacute and emergency department phases; hospital-based subacute stroke treatment and secondary prevention; and rehabilitation.

Key Words: AHA Scientific Statements • stroke care • stroke management • telemedicine

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