A low-cost, tablet-based option for prehospital neurologic assessment: The iTREAT Study.

ABSTRACT:

Objectives

In this 2-center study, we assessed the technical feasibility and reliability of a low cost, tablet-based mobile telestroke option for ambulance transport and hypothesized that the NIH Stroke Scale (NIHSS) could be performed with similar reliability between remote and bedside examinations.

Methods

We piloted our mobile telemedicine system in 2 geographic regions, central Virginia and the San Francisco Bay Area, utilizing commercial cellular networks for videoconferencing transmission. Standardized patients portrayed scripted stroke scenarios during ambulance transport and were evaluated by independent raters comparing bedside to remote mobile telestroke assessments. We used a mixed-effects regression model to determine intraclass correlation of the NIHSS between b

SUBMITTER: Chapman Smith SN 

PROVIDER: S-EPMC4932237 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature