2026-05-23T04:20:08Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/168172024-09-27T15:30:25Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19612
Repisalud
author
León-Salas, Beatriz
author
González-Hernández, Yadira
author
Infante-Ventura, Diego
author
de Armas-Castellano, Aythami
author
García-García, Javier
author
García-Hernández, Miguel
author
Carmona, Montserrat
author
Olazarán, Javier
author
Dobato, José Luis
author
Rodríguez-Rodríguez, Leticia
author
Trujillo-Martín, María M
funder
Ministerio de Sanidad (España)
2023-12-15T12:45:51Z
2023-12-15T12:45:51Z
2023-01
Eur J Neurol. 2023 Jan;30(1):241-254.
European journal of neurology
36256522
http://hdl.handle.net/20.500.12105/16817
Background: To systematically review the effectiveness and safety of telemedicine combined with usual care (in-person visits) compared to usual care for the therapeutic management and follow-up assessment of neurologic diseases. Methods: The electronic databases MEDLINE, EMBASE, WOS, and Cochrane Central Register of Controlled Trials were searched (June 2021). We considered randomized controlled trials (RCTs) on patients of any age with neurologic diseases. Two reviewers screened and abstracted data in duplicate and independently and assessed risk of bias using the Cochrane risk-of-bias tool for randomized trials (RoB 2). When possible, pooled effect estimates were calculated. Results: Of a total of 3018 records initially retrieved, 25 RCTs (n=2335) were included: 11 (n=804) on stroke, 4 (n=520) on Parkinson’s disease, 3 (n=110) on multiple sclerosis, 2 (n=320) on epilepsy, 1 (n=63) on dementia, 1 (n=23) on spina bifida, 1 (n=40) on migraine, 1 (n=22) on cerebral palsy, and 1 (n=433) on brain damage. Types of telemedicine assessed were: online visits (11 studies), tele-rehabilitation (7 studies), telephone calls (3), smartphone apps (2), and online computer software (2). The evidence was quite limited except for stroke. Compared to usual care alone, telemedicine plus usual care was found to improve depressive symptoms, functional status, motor function, executive function, generic quality of life, health care utilization, and healthy lifestyle in patients in post-stroke follow-up. Conclusions: Well-designed and executed RCTs are needed to confirm our findings on stroke and to have more scientific evidence available for the other neurologic diseases.
eng
Effectiveness
Meta-Analysis
Neurologic diseases
Safety
Telemedicine
Teleneurology
Telemedicine for neurological diseases: A systematic review and meta-analysis
review article
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TelemedicineNeurologicalDiseases_2023.pdf
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TelemedicineNeurologicalDiseases_2023.pdf.txt