UASSIGNED:美国国立卫生研究院卒中量表(NIHSS)是客观量化疑似卒中引起的损害的最推荐工具。然而,它主要由急诊科(ED)训练有素的神经科医师使用。为了将NIHSS推进到院前设置,开发了基于智能手机的Telestroke系统。它通过视频捕获完整的NIHSS,离线传输,并能够由远处的中风医生进行评估。我们的目的是比较来自远方的神经科医生确定的NIHSS评分的可靠性,使用在急诊科进行标准NIHSS评估的平台.
未经评估:在两个中心进行了一项多中心前瞻性研究(Valld\'Hebron,巴塞罗那,还有Rambam,以色列)。因怀疑中风而入院的ED患者根据NIHSS进行了神经系统检查,同时被系统记录。熟练的神经科医生根据离线视频对NIHSS进行评级。将结果与床边神经科医生给出的NIHSS评分进行比较。
未经授权:共纳入95例疑似卒中患者。总体组内相关系数为0.936(VdH为0.99,Rambam为0.84),表明良好的可靠性,分别。
未经评估:基于NIHSS的远程卒中评估,使用由专用平台收集的视频片段,安装在标准智能手机上,与床边评估相比,是一种可靠的测量。
UNASSIGNED: The National Institutes of Health Stroke Scale (NIHSS) is the most recommended tool for objectively quantifying the impairment caused by a suspected stroke. Nevertheless, it is mainly used by trained neurologists in the emergency department (ED). To bring forward the NIHSS to the pre-hospital setting, a smartphone-based Telestroke system was developed. It captures the full NIHSS by video, transmits it off-line, and enables assessment by a distant stroke physician. We aimed to compare the reliability of an NIHSS score determined by a neurologist from afar, using the platform with a standard NIHSS assessment performed in the emergency departments.
UNASSIGNED: A multi-center prospective study was conducted in two centers (Vall d\'Hebron, Barcelona, and Rambam, Israel). Patients admitted to the ED with suspected stroke had a neurological exam based on the NIHSS, while being recorded by the system. A skilled neurologist rated the NIHSS according to the videos offline. The results were compared with the NIHSS score given by a neurologist at the bedside.
UNASSIGNED: A total of 95 patients with suspected stroke were included. The overall intraclass correlation coefficient was 0.936 (0.99 in VdH and 0.84 in Rambam), indicating excellent and good reliability, respectively.
UNASSIGNED: Remote stroke assessment based on the NIHSS, using videos segments collected by a dedicated platform, installed on a standard smartphone, is a reliable measurement as compared with the bedside evaluation.