Key result
Wireless telemedicine enables excellent interrater reliability across ~82% of modified NIHSS stroke assessment items.
Observational (n=25)
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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.
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Meyer et al. (2005) conducted an observational in Stroke (n=25). STRokE DOC Wireless/Site Independent Telemedicine System vs. Bedside examiner evaluation was evaluated on Interrater reliability on NIH Stroke Scale (NIHSS) and Modified NIHSS items (Spearman correlation >=0.93). The STRokE DOC wireless telemedicine system showed excellent interrater reliability for 67% of NIHSS and 82% of Modified NIHSS items (Spearman correlations >=0.93).
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