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Innovative use of artificial intelligence and digital communication in acute stroke pathway in response to COVID-19

Kiruba Nagaratnam, George Harston, Enrico Flossmann, Clara Canavan, Rui Carmelo Geraldes and Chani Edwards
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DOI: https://doi.org/10.7861/fhj.2020-0034
Future Healthc J June 2020
Kiruba Nagaratnam
ARoyal Berkshire NHS Foundation Trust, Reading, UK
Roles: consultant stroke physician
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  • For correspondence: kiruba.nagaratnam@nhs.net
George Harston
BOxford University Hospitals NHS Foundation Trust, Oxford, UK
Roles: consultant stroke physician
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Enrico Flossmann
CRoyal Berkshire NHS Foundation Trust, Reading, UK
Roles: consultant neurologist
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Clara Canavan
DRoyal Berkshire NHS Foundation Trust, Reading, UK
Roles: stroke specialist nurse
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Rui Carmelo Geraldes
DRoyal Berkshire NHS Foundation Trust, Reading, UK
Roles: stroke specialist nurse
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Chani Edwards
ERoyal Berkshire NHS Foundation Trust, Reading, UK
Roles: benefits realisation manager
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    Fig 1.

    Covid-19 hyperacute stroke pathway.

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    Fig 2.

    AI-processed images from the Brainomax app. (a) View of non-contrast CT brain scan. Area of early infarction is indicated by red heat-map. (b) View of MIP CT angiogram. Proximal left middle cerebral artery occlusion is highlighted by the red circle. MIP = Maximum Intensity Projection.

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    Table 1.

    Timeline of the patient journey

    Symptom onset10:40
    Arrived in ED11:35
    CT imaging11:59
    Image processed12:02
    WhatsApp alert12:06
    WhatsApp response12:07
    Treatment decision12:13
    IV bolus12:15
    Transferred for thrombectomy12:50
    Recanalisation achieved14:38
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Innovative use of artificial intelligence and digital communication in acute stroke pathway in response to COVID-19
Kiruba Nagaratnam, George Harston, Enrico Flossmann, Clara Canavan, Rui Carmelo Geraldes, Chani Edwards
Future Healthc J Jun 2020, 7 (2) 169-173; DOI: 10.7861/fhj.2020-0034

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Innovative use of artificial intelligence and digital communication in acute stroke pathway in response to COVID-19
Kiruba Nagaratnam, George Harston, Enrico Flossmann, Clara Canavan, Rui Carmelo Geraldes, Chani Edwards
Future Healthc J Jun 2020, 7 (2) 169-173; DOI: 10.7861/fhj.2020-0034
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  • Article
    • ABSTRACT
    • Background
    • The pre-COVID-19 hyperacute stroke pathway
    • The COVID-19 hyperacute stroke pathway
    • Case presentation
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