Advancing Telestroke Care: A Prospective Observational Study

The goal of this study is to promote the development and economic sustainability of
telemedicine for acute stroke treatment. The study's objectives are 1) to determine if the
use of telemedicine consultations for stroke patients will improve their care per guidelines
compared to stroke patients treated by control hospitals; and 2) to determine if the care per
guidelines provided via telemedicine consultations for stroke patients will be similar or
equivalent to care per guidelines provided to stroke patients treated at hub hospitals.

The Advancing Telestroke Care study will establish treatment and outcomes in three distinct
study cohorts: hub telemedicine hospital, spoke telemedicine hospital and non-telemedicine
control hospital.

Inclusion Criteria:

- Age greater than or equal to 18 years old

- Acute ischemic stroke within 12 hours of stroke onset

Exclusion Criteria:

- Life expectancy less than 90 days

- Patient unwilling to participate in study