Table 1

Current available apps for integrated prehospital stroke care

App/developerProsCons
Twiage

  • Pre-arrival pass-off

  • Transmits images, videos, EKGs

  • Two-way communication

  • GPS tracking

  • Stroke section limited

  • Only prehospital

  • Lacks data on impact on outcomes

Stop Stroke Pulsara

  • Integrates communication between EMS, ED, radiology, neurology, and Interventional team

  • Includes stroke scales (LAMS, NIHSS, RACE, FAST/Cincinnati)

  • Keeps running track of LSW, tPA times, and MT times

  • Alerts when images available

  • Transmits images

  • Allows tPA contraindication review by any and all

  • Data (limited) on impact on logistical outcomes

  • Not integrated to EMR

CodeStroke Alert

  • Clinical score calculators and guidelines

  • Instant messaging and read receipts

  • Interhospital referral

  • Tracked and timestamped data entries for audit

  • Real-time GPS tracking

  • Open source

  • Not universally available

  • Early phase of deployment

  • Lacks data on impact on outcomes

Join/Allm Inc Japan

  • Time stamps events (LSW, CT, MRI, Angio suite, Reperfusion)

  • Instant messaging platform

  • Patient GPS position (tracker) with map

  • Not universally available

  • Lacks data on impact on outcomes