Telestroke management during the Hajj seasons 2023-2024: insights from SEHA Virtual Hospital in KSA[1]
Summary
Cross-sectional study of 459 adult stroke patients (207 in 2023, 252 in 2024) managed via SEHA Virtual Hospital telestroke consultations during the Hajj. Mean age ~63; majority non-Saudi international pilgrims. Ischemic stroke rose from 46% to 73% of diagnoses between seasons; thrombolysis (TPA) administration held stable at 23% both years with no significant difference in median time-to-TPA. Concludes a centralized telestroke service is a viable, scalable strategy for specialized stroke care at mass gatherings, maintaining stable acute treatment rates across a large, diverse cohort.
So what
Proof at scale that a time-critical specialty can be delivered to a mass gathering by wire: 459 strokes across two Hajj seasons with a 23% thrombolysis rate — competitive with well-run stationary systems — via one national virtual hub. For events anywhere, this is the template for specialty surge without specialist deployment (stroke today; the model generalizes to tox, cardiology, burns), and for the library it adds the definitive telemedicine entry alongside the surveillance and heat clusters from the Saudi Global Centre lineage. Free full text via PMC.
Key findings
- 459 telestroke consultations across Hajj 2023-2024 via one national virtual hospital
- TPA rate stable at 23% both seasons; time-to-TPA unchanged - system held under load
- Ischemic share rose 46%→73% between seasons; elderly international cohort (mean ~63)
- Centralized telestroke = scalable specialty-care model for mass gatherings
- Template generalizes: specialty surge without on-site specialist deployment
Read the paper
- Publisher (DOI) ↗may be paywalled
- PubMed ↗abstract · free
- PMC full text ↗free full text