Annals of Clinical and Translational

doi: 10.1002/acn3.20 aDr. Wu and Dr. Lyerly contributed equally to the development of the manuscript. bCo-senior authors. Background: To examine the impact of telemedicine (TM) on access to acute stroke care and expertise in the state of Texas. Methods: Texas hospitals were surveyed using a standard questionnaire and categorized as: (1) stand-alone Pri-mary Stroke Centers (PSC) not using TM for acute stroke care, (2) PSC using TM for acute stroke care, (3) non-PSC hospitals using TM for acute stroke care, or (4) non-PSC hospitals not using TM for acute stroke care. Population data were obtained from the U.S. Census Bureau and the Neilson Claritas Demographic Estimation Program. Access within 60 min to a designated facility was calculated at the block group level. Results: Over 75 % of Texans had 60