Prospective reliability of the STRokE DOC wireless/site independent telemedicine system

Neurology. 2005 Mar 22;64(6):1058-60. doi: 10.1212/01.WNL.0000154601.26653.E7.

Abstract

The authors evaluated a site-independent telemedicine system. Telemedicine may be limited by the need for fixed connectivity. Wireless and site-independent technologies eliminate this limitation. Twenty-five stroke patients underwent evaluations by remote and bedside examiners. Ten of 15 (67%) NIH Stroke Scale and 9 of 11 (82%) Modified NIH Stroke Scale items showed excellent interrater reliability. Spearman correlations were > or =0.93. This Internet system is reliable and valid. Further studies should assess its use in acute stroke.

Publication types

  • Evaluation Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Diagnosis, Differential
  • Diagnostic Errors / prevention & control*
  • Humans
  • Internet / instrumentation
  • Internet / trends*
  • Neurologic Examination / instrumentation
  • Neurologic Examination / methods
  • Neurologic Examination / trends
  • Neurology / instrumentation
  • Neurology / methods*
  • Neurology / trends
  • Observer Variation
  • Prospective Studies
  • Remote Consultation / instrumentation
  • Remote Consultation / methods*
  • Remote Consultation / trends
  • Reproducibility of Results
  • Software
  • Stroke / diagnosis*
  • Stroke / drug therapy
  • Stroke / physiopathology
  • Tissue Plasminogen Activator / therapeutic use
  • Videotape Recording / instrumentation
  • Videotape Recording / methods
  • Videotape Recording / trends

Substances

  • Tissue Plasminogen Activator