urmjУральский медицинский журналUral Medical Journal2949-4389Ural State Medical University10.52420/2071-5943-2023-22-4-113-118urmj-1298Research ArticleЛитературные обзоры | Literature reviewsLiterature reviewsТелемедицина инсульта: вчера, сегодня и завтраStroke telemedicine: yesterday, today and tomorrowhttps://orcid.org/0000-0003-1610-2127АлашеевА. М.AlasheevA. M.

Андрей Марисович Алашеев, кандидат медицинских наук, 

Екатеринбург

Andrej M. Alasheev, Ph.D. in medicine

alasheev@live.ruhttps://orcid.org/0000-0002-0544-1492БелкинА. А.BelkinA. A.

Андрей Августович Белкин, доктор медицинских наук, 

Екатеринбург

Andrej A. Belkin, Doctor of Science (Medicine)

belkin@neuro-ural.ruhttps://orcid.org/0000-0002-6537-1940ПраздничковаЕ. В.PrazdnichkovaE. V.

Елена Васильевна Праздничкова, кандидат медицинских наук,

Екатеринбург

Elena V. Prazdnichkova, Ph.D. in medicine

prazdnichkova@yandex.ruСвердловская областная клиническая больница № 1РоссияSverdlovsk Regional Clinical Hospital No 1Russian Federation202313082023224113118Copyright © Алашеев А.М., Белкин А.А., Праздничкова Е.В., 20232023Алашеев А.М., Белкин А.А., Праздничкова Е.В.Alasheev A.M., Belkin A.A., Prazdnichkova E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.umjusmu.ru/jour/article/view/1298Введение

Введение. Телемедицина, вписываясь в длинную цепь событий судьбы пациента, осуществляет интегрирующую роль, что позволяет контролировать все этапы оказания помощи больным с инсультом.

Цель исследования – проанализировать и систематизировать данные научной литературы в контексте развития телемедицины инсульта.

Материалы и методы

Материалы и методы. Нарративный обзор составлен по литературным источникам, найденным в научной электронной библиотеке eLIBRARY.RU и информационной базе National Library of Medicine (PubMed.gov) по ключевым словам «телемедицина», «инсульт», “telemedicine”, “stroke”, “telestroke” за период с 1999 по 2022 годы.

Результаты и обсуждение

Результаты и обсуждение. Появление тромболитической терапии, воспринимаемой как рискованное лечение, недостаток специалистов для обеспечения круглосуточных дежурств, требование регулирующих органов повышать качество помощи и технологические улучшения в пропускной способности передачи данных послужили развитию телемедицины инсульта в первом десятилетии XXI века. Во втором десятилетии XXI века телемедицина инсульта, изначально зародившаяся в Северной Америке и Западной Европе, стала широко распространяться по всему миру. Пандемия новой коронавирусной инфекции на рубеже третьего десятилетия XXI века дала мощнейший импульс развития телемедицины в целом и стала третьим стимулом развития телемедицины инсульта. Телемедицина инсульта расширяет границы клинической практики, делая специализированную помощь более доступной и менее зависимой от наличия кадров на местах.

Заключение

Заключение. Дальнейшее развитие телемедицины инсульта будет идти по трем направлениям: (1) дистанционное ведение больных станет рутинной клинической практикой; (2) телемедицина инсульта станет более персонифицированной; и (3) региональные телемедицинские сети будут объединяться в национальные и межнациональные, появятся сети инсультных телесетей.

Introduction

Introduction. Telemedicine, by fitting into the long chain of events of the patient’s fate, plays an integrative role, allowing all stages of stroke care to be monitored.

The aim of the study was to analyse and systematise the scientific literature in the context of the development of telemedicine for stroke.

Materials and methods

Materials and methods. Narrative review is compiled from literature sources found in the scientific electronic library eLIBRARY.RU and the National Library of Medicine database (PubMed.gov) using the keywords “telemedicine”, “stroke”, “telestroke” for the years 1999 to 2022.

Results and discussion

Results and discussion. The emergence of thrombolytic therapy perceived as a risk treatment, the lack of specialists to provide round-the-clock care, the requirement of regulatory authorities to improve the quality of care and technological improvements in data transmission capacity served to develop stroke telemedicine in the first decade of the 21st century. In the second decade of the 21st century telestroke, which initially originated in North America and Western Europe, began to spread widely around the world. The pandemic of a new coronavirus infection at the turn of the third decade of the 21st century provided the greatest impetus for the development of telemedicine in general and was the third impetus for the development of stroke telemedicine. Stroke telemedicine is pushing the boundaries of clinical practice, making specialised care more accessible and less dependent on local manpower.

Conclusion

Conclusion. Further evolution of telemedicine for stroke will proceed in three directions: (1) telemedicine for stroke will become routine clinical practice; (2) telemedicine for stroke will become more personalized; and (3) regional telestroke networks will be connected to national and international telestroke networks, and stroke telemedicine networks will develop.

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The authors declare that there are no conflicts of interest present.