title: Prospective reliability of the STRokE DOC wireless/site independent telemedicine system.
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.
authors.affiliation: 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
authors.forename: B C
authors.initials: BC
authors.lastname: Meyer
authors.forename: P D
authors.initials: PD
authors.lastname: Lyden
authors.forename: L
authors.initials: L
authors.lastname: Al-Khoury
authors.forename: Y
authors.initials: Y
authors.lastname: Cheng
authors.forename: R
authors.initials: R
authors.lastname: Raman
authors.forename: R
authors.initials: R
authors.lastname: Fellman
authors.forename: J
authors.initials: J
authors.lastname: Beer
authors.forename: R
authors.initials: R
authors.lastname: Rao
authors.forename: J A
authors.initials: JA
authors.lastname: Zivin
mesh_terms: 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
chemical_list: D010959:Tissue Plasminogen Activator