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Disclosure of interest: Marie Gultom: nothing to disclose, Orhun Utku Aydin: nothing to disclose, Adam Hilbert: nothing to disclose, Jana Rieger: nothing to disclose, Dimitrios Rallios: nothing to disclose, Dietmar Frey: nothing to disclose Poster Session I - DIGITAL TRANSFORMATION, AI AND ROBOTICS 07.00 - DIGITAL TRANSFORMATION, AI AND ROBOTICS - 07.01 - TECHNOLOGY INNOVATIONS: ROBOTS, VIRTUAL REALITY, ARTIFICIAL INTELLIGENCE AND MORE P301 - ESOC25-681 GLOBAL PATTERNS IN TELESTROKE NETWORKS: A SYSTEMATIC REVIEW OF PRACTICES, PERFORMANCE INDICATORS, AND CHALLENGES IN DIVERSE RESOURCE SETTINGS Mirjam Rachel Heldner 1 , Christine Tunkl 2 , Ramage Emily 3 , Linxin Li 4 , Teresa Ullberg 5 , Alexandra Krauss 6 , Shirsho Shreyan 7 , Yvonne Zuurbier 8 , Jatinder Minhas 9 , Matias Alet 10 , Tamer Roushdy 11 , Aristeidis Katsanos 12 , Pawel Kiper 13 , Shakti Shrestha 14 , Anna Ranta 15 1 Department of Neurology, Inselspital, University hospital and University of Bern, Bern, Switzerland, 2 Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany, Heidelberg, Germany, 3 The Florey Institute of Neuroscience and Mental Health, and Western Health, Parkville, Australia, 4 Wolfson Centre for Prevention of Stroke and Dementia, Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom, 5 Department of Neurology, Skane University Hospital, Clinical Sciences, Lund University, Lund, Sweden, 6 Department of Neurology, University Hospital Heidelberg, Heidelberg, Germany, 7 Rajshahi Medical College, Rajshahi, Bangladesh, 8 Department of Neurology, University Hospital Antwerp, Antwerp, Belgium, 9 Cerebral Haemodynamics in Ageing and Stroke Medicine (CHiASM), Department of Cardiovascular Sciences, University of Leicester, NIHR Leicester Biomedical Research Centre, BHF Cardiovascular Research Centre, Glenfield Hospital, Leicester, United Kingdom, 10 Department of Neurology, Comprehensive Stroke Center, Fleni, Ciudad de Buenos Aires, Argentina, 11 Department of Neurology, Faculty of Medicine, Ain Shams University, Cairo, Egypt, 12 Department of Medicine (Neurology), McMaster University and Population Health Research Institute, Hamilton, Canada, 13 Healthcare Innovation Technology Lab, San Camillo IRCCS, Venice, Italy, 14 Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Queensland, Australia, 15 Department of Medicine, University of Otago, Wellington, New Zealand Background and Aims: Data from studies that have predominantly been carried out in high-income countries suggest acute telestroke networks can provide safe and effective acute care while addressing disparities in access

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