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
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Evaluation Study
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, Non-P.H.S.
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Research Support, U.S. Gov't, P.H.S.
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Validation Study
MeSH terms
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Adolescent
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Adult
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Diagnosis, Differential
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Diagnostic Errors / prevention & control*
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Humans
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Internet / instrumentation
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Internet / trends*
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Neurologic Examination / instrumentation
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Neurologic Examination / methods
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Neurologic Examination / trends
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Neurology / instrumentation
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Neurology / methods*
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Neurology / trends
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Observer Variation
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Prospective Studies
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Remote Consultation / instrumentation
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Remote Consultation / methods*
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Remote Consultation / trends
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Reproducibility of Results
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Software
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Stroke / diagnosis*
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Stroke / drug therapy
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Stroke / physiopathology
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Tissue Plasminogen Activator / therapeutic use
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Videotape Recording / instrumentation
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Videotape Recording / methods
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Videotape Recording / trends
Substances
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Tissue Plasminogen Activator