Prospective reliability of the STRokE DOC wireless/site independent telemedicine system.
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.
Meyer
B C
BC
Department of Neurosciences, UCSD School of Medicine, Stroke Center (8466), 3rd Floor, OPC, Suite 3, 200 West Arbor Drive, San Diego, CA 92103-8466, USA. bcmeyer@ucsd.edu
Lyden
P D
PD
Al-Khoury
L
L
Cheng
Y
Y
Raman
R
R
Fellman
R
R
Beer
J
J
Rao
R
R
Zivin
J A
JA
D000293:Adolescent; D000328:Adult; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D006801:Humans; D020407:Internet / Q000295:instrumentation / Q000639:trends*; D009460:Neurologic Examination / Q000295:instrumentation / Q000379:methods / Q000639:trends; D009462:Neurology / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D015588:Observer Variation; D011446:Prospective Studies; D019114:Remote Consultation / Q000295:instrumentation / Q000379:methods* / Q000639:trends; D015203:Reproducibility of Results; D012984:Software; D020521:Stroke / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D014743:Videotape Recording / Q000295:instrumentation / Q000379:methods / Q000639:trends
D010959:Tissue Plasminogen Activator