Telemedicine & Stroke CareTelemedic Project for Integrative Stroke Care -

TEMPiS

Johannes Schenkel, MD, MPHMunich, Germany

Changes in Age Structure

2000 2050Germany

Stroke Events in Europe

European Journal of Neurology 2006

2025 Increase of Stroke Events 25% - 55%

Burden of Stroke to Society

Cost of illness

Lifetime cost per stroke: ~ 50.000 €

Direct cost projection in Germany 2006 – 2025: 108 Billion €Kolominsky-Rabas, 2006

Public Health Challenge

Prevention

Burden of Stroke to Society

Cost of illness

Lifetime cost per stroke: ~ 50.000 €

Direct cost projection in Germany 2006 – 2025: 108 Billion €Kolominsky-Rabas, 2006

Public Health Challenge

Prevention

Reduction of stroke related disability

Burden of Stroke to Society

Cost of illness

Lifetime cost per stroke: ~ 50.000 €

Direct cost projection in Germany 2006 – 2025: 108 Billion €Kolominsky-Rabas, 2006

Public Health Challenge

Prevention

Reduction of stroke related disability

Providing spezialized stroke care anywhere and anytime

Burden of Stroke to Society

Cost of illness

Lifetime cost per stroke: ~ 50.000 €

Direct cost projection in Germany 2006 – 2025: 108 Billion €Kolominsky-Rabas, 2006

Public Health Challenge

Prevention

Reduction of stroke related disability

Providing spezialized stroke care anywhere and anytime

Comprehensive Rehabilitation

Stroke Units in Germany

Stroke Unit Reducing the odds of death Reducing the odds of institutional care

The Cochrane Library 2007, Issue 4

Stroke UnitOnly a minority of all stroke patients in europe receive stroke unit care and thrombolytic therapy!

Leys et al, 2007

Stroke Units in Bavaria

4

Stroke Unit

TEMPiS-Network

4

Stroke Unit

Stroke Centers

TEMPiS-Network

4

Stroke Unit

Stroke Centers

Network-Hospital