{"id":"https://openalex.org/W7140638148","doi":"https://doi.org/10.1227/neu.0000000000003964_2076","title":"2076 Emergency TeleNeurosurgery Physician Consultation Program and Associated Healthcare Utilization Benefits","display_name":"2076 Emergency TeleNeurosurgery Physician Consultation Program and Associated Healthcare Utilization Benefits","publication_year":2026,"publication_date":"2026-03-26","ids":{"openalex":"https://openalex.org/W7140638148","doi":"https://doi.org/10.1227/neu.0000000000003964_2076"},"language":"en","primary_location":{"id":"doi:10.1227/neu.0000000000003964_2076","doi":"https://doi.org/10.1227/neu.0000000000003964_2076","is_oa":false,"landing_page_url":"https://doi.org/10.1227/neu.0000000000003964_2076","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071816100","display_name":"Ethan A. Wetzel","orcid":"https://orcid.org/0000-0003-1944-0279","observed_orcids":["https://orcid.org/0000-0003-1944-0279"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ethan Wetzel","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Gregory Fournier","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gregory Fournier","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073417823","display_name":"Zsombor Tamas Gal","orcid":"https://orcid.org/0000-0002-4458-6715","observed_orcids":["https://orcid.org/0000-0002-4458-6715"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Zsombor T. Gal","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101755064","display_name":"Alexander F. Wang","orcid":"https://orcid.org/0000-0002-7264-1312","observed_orcids":["https://orcid.org/0000-0002-7264-1312"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alexander Wang","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088190931","display_name":"David S. Huckins","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"David Huckins","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086442011","display_name":"Charudutt N. Paranjape","orcid":"https://orcid.org/0000-0002-7857-6128","observed_orcids":["https://orcid.org/0000-0002-7857-6128","https://orcid.org/0000-0002-1667-9236"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Charudutt Paranjape","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5047408720","display_name":"Timothy R. West","orcid":"https://orcid.org/0000-0002-6444-6939","observed_orcids":["https://orcid.org/0000-0002-6444-6939"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Timothy R. West","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104319667","display_name":"Nicole A Perez","orcid":"https://orcid.org/0009-0009-2349-0202","observed_orcids":["https://orcid.org/0009-0009-2349-0202"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nicole A. Perez","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015835773","display_name":"Mercy H. Mazurek","orcid":"https://orcid.org/0000-0002-4655-4266","observed_orcids":["https://orcid.org/0000-0002-4655-4266"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mercy H. Mazurek","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005526815","display_name":"Bob S. Carter","orcid":"https://orcid.org/0000-0002-3586-1324","observed_orcids":["https://orcid.org/0000-0002-3586-1324"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Bob S. Carter","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080480694","display_name":"Brian Vala Nahed","orcid":"https://orcid.org/0000-0001-8537-106X","observed_orcids":["https://orcid.org/0000-0001-8537-106X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Brian V. Nahed","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5032902539","display_name":"Christopher J. Stapleton","orcid":"https://orcid.org/0000-0003-4805-0093","observed_orcids":["https://orcid.org/0000-0003-4805-0093"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Christopher J. Stapleton","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"72","issue":"Supplement_1","first_page":"263","last_page":"263"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9096999764442444,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10912","display_name":"Telemedicine and Telehealth Implementation","score":0.9096999764442444,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12918","display_name":"Healthcare Systems and Technology","score":0.030400000512599945,"subfield":{"id":"https://openalex.org/subfields/1407","display_name":"Organizational Behavior and Human Resource Management"},"field":{"id":"https://openalex.org/fields/14","display_name":"Business, Management and Accounting"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11095","display_name":"Emergency and Acute Care Studies","score":0.020800000056624413,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hospital-bed-capacity","display_name":"hospital bed capacity","score":0.6809999942779541},{"id":"https://openalex.org/keywords/hospital-overcrowding","display_name":"hospital overcrowding","score":0.7170000076293945},{"id":"https://openalex.org/keywords/intracranial-hemorrhage","display_name":"intracranial hemorrhage","score":0.800000011920929},{"id":"https://openalex.org/keywords/ground-level-falls","display_name":"ground-level falls","score":0.8019999861717224},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.5669999718666077}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9699000120162964},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.5752000212669373},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4894999861717224},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3873000144958496},{"id":"https://openalex.org/C2780724011","wikidata":"https://www.wikidata.org/wiki/Q1295316","display_name":"Emergency department","level":2,"score":0.3571000099182129},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.34470000863075256},{"id":"https://openalex.org/C2994511739","wikidata":"https://www.wikidata.org/wiki/Q336641","display_name":"Emergency physician","level":3,"score":0.3294999897480011},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.289000004529953},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2669999897480011},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2662999927997589},{"id":"https://openalex.org/C2989236134","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Patient care","level":2,"score":0.262800008058548},{"id":"https://openalex.org/C545288138","wikidata":"https://www.wikidata.org/wiki/Q860447","display_name":"Emergency medical services","level":2,"score":0.2574000060558319}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1227/neu.0000000000003964_2076","doi":"https://doi.org/10.1227/neu.0000000000003964_2076","is_oa":false,"landing_page_url":"https://doi.org/10.1227/neu.0000000000003964_2076","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4417373005","https://openalex.org/W2338076357","https://openalex.org/W2503588165","https://openalex.org/W2004807799","https://openalex.org/W2940861239","https://openalex.org/W7038720732","https://openalex.org/W2021181950","https://openalex.org/W4400610892","https://openalex.org/W4302419408","https://openalex.org/W4400000359"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Hospital":[1],"overcrowding":[2],"and":[3,50,77,94,145,194,218,225,245,269],"limited":[4],"bed":[5],"availability":[6],"in":[7,118,184],"tertiary":[8,26,33,60,122,189,226],"centers":[9],"restrict":[10],"timely":[11],"access":[12],"to":[13,25,29,120,176,202,237],"specialized":[14],"care.":[15],"Low-acuity":[16],"neurosurgical":[17,251,275],"patients":[18,129],"are":[19],"frequently":[20],"transferred":[21],"from":[22,84,133,173],"community":[23,55,224],"hospitals":[24,56,181],"centers,":[27],"contributing":[28],"unnecessary":[30,211],"strain":[31],"on":[32,103],"center":[34,190],"resources.":[35],"METHODS:":[36],"A":[37],"retrospective":[38],"review":[39],"was":[40,100],"conducted":[41],"of":[42,80,126,233,250,259,262,272],"324":[43,111],"TeleNeurosurgery":[44,207],"consults":[45],"completed":[46],"between":[47],"January":[48],"2023":[49],"December":[51],"2024":[52],"across":[53,254],"three":[54],"affiliated":[57],"with":[58],"a":[59],"academic":[61],"center.":[62,123],"Data":[63],"collected":[64],"included":[65,139],"patient":[66,212],"demographics,":[67],"presenting":[68],"symptoms,":[69],"diagnoses,":[70],"consult":[71],"outcomes,":[72],"transfer":[73,119,163],"status,":[74],"surgical":[75],"interventions,":[76],"hospital":[78,239],"length":[79],"stay.":[81],"Cost":[82],"savings":[83,171],"avoided":[85],"transfers":[86,167],"were":[87,130,153],"estimated":[88,169],"using":[89],"Medicare\u2019s":[90],"Ambulance":[91],"Fee":[92],"Schedule,":[93],"Diagnosis-Related":[95],"Group":[96],"(DRG)":[97],"revenue":[98],"retention":[99],"calculated":[101],"based":[102],"national":[104],"average":[105],"payment":[106],"data.":[107],"RESULTS:":[108],"Of":[109],"the":[110,121,127,134,161,188,247],"consults,":[112],"272":[113],"(83.9%)":[114],"did":[115],"not":[116],"result":[117],"104":[124],"(32.1%)":[125],"non-transferred":[128],"discharged":[131],"directly":[132],"emergency":[135],"department.":[136],"Common":[137],"diagnoses":[138],"ground-level":[140],"falls":[141],"(n":[142,149],"=":[143,150],"215)":[144],"stable":[146],"intracranial":[147],"hemorrhages":[148],"190),":[151],"which":[152],"often":[154],"managed":[155],"locally.":[156],"Atraumatic":[157],"cranial":[158],"conditions":[159],"had":[160],"highest":[162],"rate":[164],"(30.8%).":[165],"Avoided":[166],"yielded":[168],"transportation":[170],"ranging":[172],"$43,455":[174],"(ambulance)":[175],"$18.6":[177],"million":[178,198],"(airlift).":[179],"Community":[180],"retained":[182],"$985,111":[183],"DRG-based":[185],"revenue,":[186],"while":[187],"preserved":[191],"831":[192],"bed-days":[193],"potentially":[195],"gained":[196],"$1.08":[197],"by":[199],"reallocating":[200],"capacity":[201,240],"higher-acuity":[203],"patients.":[204],"CONCLUSIONS:":[205],"The":[206],"program":[208],"substantially":[209],"reduced":[210],"transfers,":[213],"conserved":[214],"critical":[215],"care":[216,252],"resources,":[217],"generated":[219],"financial":[220],"benefits":[221],"for":[222],"both":[223],"hospitals.":[227],"These":[228],"findings":[229],"support":[230],"broader":[231],"implementation":[232,261],"teleneurosurgical":[234],"consultation":[235],"systems":[236],"alleviate":[238],"strain,":[241],"improve":[242],"triage":[243],"efficiency,":[244],"enhance":[246],"overall":[248],"value":[249],"delivery":[253],"healthcare":[255],"networks.":[256],"Key":[257],"tenants":[258],"successful":[260],"teleneurosurgery":[263],"programs":[264],"include":[265],"health":[266],"record/imaging":[267],"interoperability":[268],"protocolized":[270],"management":[271],"common":[273],"low-acuity":[274],"conditions.":[276]},"counts_by_year":[],"updated_date":"2026-09-29T14:09:16.559479","created_date":"2026-03-27T00:00:00"}