Prehospital Unassisted Assessment of Stroke Severity Using Telemedicine A Feasibility Study

被引：43

作者：

Van Hooff, Robbert-Jan ^{[1
,4
]}

Cambron, Melissa ^{[1
,4
]}

Van Dyck, Rita ^{[1
]}

De Smedt, Ann ^{[1
,4
]}

Moens, Maarten ^{[2
,4
]}

Espinoza, Alexis Valenzuela ^{[4
]}

Van de Casseye, Rohny ^{[6
]}

Convents, Andre ^{[4
]}

Hubloue, Ives ^{[3
,5
]}

De Keyser, Jacques ^{[1
,4
,7
]}

Brouns, Raf ^{[1
,4
]}

机构：

[1] Univ Ziekenhuis Brussel, Dept Neurol, B-1090 Brussels, Belgium

[2] Univ Ziekenhuis Brussel, Dept Neurosurg, B-1090 Brussels, Belgium

[3] Univ Ziekenhuis Brussel, Dept Emergency Med, B-1090 Brussels, Belgium

[4] Vrije Univ Brussel, Ctr Neurosci, Brussels, Belgium

[5] Vrije Univ Brussel, Res Grp Emergency & Disaster Med Brussels, Brussels, Belgium

[6] Flanders Dist Creat, Louvain, Belgium

[7] Univ Groningen, Univ Med Ctr Groningen, Dept Neurol, Groningen, Netherlands

来源：

STROKE | 2013年 / 44卷 / 10期

关键词：

acute; diagnostic methods; stroke; stroke management; telemedicine;

D O I：

10.1161/STROKEAHA.113.002079

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background and Purpose We evaluated the feasibility and the reliability of remote stroke severity quantification in the prehospital setting using the Unassisted TeleStroke Scale (UTSS) via a telestroke ambulance system and a fourth-generation mobile network. Methods The technical feasibility and the reliability of the UTSS were studied in healthy volunteers mimicking 41 stroke syndromes during ambulance transportation. Results Except for 1 issue, high-quality telestroke assessment was feasible in all scenarios. The mean examination time for the UTSS was 3.1 minutes (SD, 0.4). The UTSS showed excellent intrarater and interrater variability (=0.98 and 0.97; P<0.001), as well as excellent internal consistency and rater agreement. Adequate concurrent validity can be derived from the strong correlation between the UTSS and the National Institutes of Health Stroke Scale (=0.90; P<0.001). Conclusions Remote assessment of stroke severity in fast-moving ambulances using a system dedicated to prehospital telemedicine, 4G technology, and the UTSS is feasible and reliable.

引用

页码：2907 / 2909

页数：3

共 6 条

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