| Summary: | 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 vs 61.71±21.38 min), ONT (166.34±42.37 vs 201.43±56.44 min) and DNT (64.97±14.43 vs 101.02±41.40 min) when compared with the control group (P < 0.05). What's more, the qualified rate (59.3% vs 32.1%), thrombolytic ratio (68.8% vs 42.0%), hospitalization time (16.94±8.58 vs 22.14±4.87 d), complication incidence (6.3% vs 28.6%) and ratio of clinical outcome (3.1% vs 21.4%) were all better in observation group than the other group (P < 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.
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