title: Enrollment of Research Subjects through Telemedicine Networks in a Multicenter Acute Intracerebral Hemorrhage Clinical Trial: Design and Methods.
abstract: BACKGROUND
  Enrollment of subjects in acute stroke trials is often hindered by narrow timeframes, because a large proportion of patients arrive via transfers from outside facilities rather than primary arrival at the enrolling hospital.
  
  
  BACKGROUND
  Telemedicine networks have been increasingly utilized for provision of care for acute stroke patients at facilities outside of major academic centers. Treatment decisions made through Telemedicine networks in patients with acute ischemic stroke have been shown to be safe, reliable, and effective. With the expanding use of this technology and the impediments to enrolling subjects into clinical trials, this approach can be applied successfully to the field of clinical research.
  
  
  CONCLUSIONS
  The antihypertensive treatment of acute cerebral hemorrhage II trial is a phase III randomized multicenter trial that has developed a protocol in collaboration with participating sites to implement the use of Telemedicine networks for the enrollment of research subjects. The protocol describes the operating procedures and legal and Institutional Review Board perspectives for its implementation.
authors.affiliation: Zeenat Qureshi Stroke Research Center, Department of Neurology, University of Minnesota Medical School, Minneapolis, MN, USA.
authors.forename: Alfredo J
authors.initials: AJ
authors.lastname: Caceres
authors.forename: David M
authors.initials: DM
authors.lastname: Greer
authors.forename: Joshua N
authors.initials: JN
authors.lastname: Goldstein
authors.forename: Anand
authors.initials: A
authors.lastname: Viswanathan
authors.forename: Jose I
authors.initials: JI
authors.lastname: Suarez
authors.forename: Logan
authors.initials: L
authors.lastname: Brau
authors.forename: Joseph Christopher
authors.initials: JC
authors.lastname: Zacko
authors.forename: Theodore J
authors.initials: TJ
authors.lastname: Lowenkopf
authors.forename: Chad M
authors.initials: CM
authors.lastname: Miller
authors.forename: Qaisar A
authors.initials: QA
authors.lastname: Shah
authors.forename: Ira
authors.initials: I
authors.lastname: Chang
authors.forename: Souvik
authors.initials: S
authors.lastname: Sen
authors.forename: Steven R
authors.initials: SR
authors.lastname: Messe
authors.forename: Sherry H-Y
authors.initials: SH
authors.lastname: Chou
authors.forename: Adnan I
authors.initials: AI
authors.lastname: Qureshi