Reliability of Real-Time Video Smartphone for Assessing National Institutes of Health Stroke Scale Scores in Acute Stroke Patients

Reliability of real-time video smartphone for assessing National Institutes of Health Stroke Scale scores in acute stroke patients.

BACKGROUND AND PURPOSE Telestroke reduces acute stroke care disparities between urban stroke centers and rural hospitals. Current technologies used to conduct remote patient assessments have high start-up costs, yet they cannot consistently establish quality timely connections. Smartphones can be used for high-quality video teleconferencing. They are inexpensive and ubiquitous among health care...

Reliability of prehospital real-time cellular video phone in assessing the simplified National Institutes Of Health Stroke Scale in patients with acute stroke: a novel telemedicine technology.

BACKGROUND AND PURPOSE The National Institutes of Health Stroke Scale (NIHSS) is the gold standard to assess patients with acute stroke. We aimed to examine the feasibility and reliability of prehospital real-time cellular video phone (VP) in performing the NIHSS. METHODS Forty physicians prospectively performed a simplified NIHSS (sNIHSS) on a standardized patient remotely using VP with the ...

Remote evaluation of acute ischemic stroke: reliability of National Institutes of Health Stroke Scale via telestroke.

BACKGROUND AND PURPOSE Despite Food and Drug Administration approval of tissue-type plasminogen activator for stroke, obstacles in the US healthcare system prevent its widespread use. The Remote Evaluation for Acute Ischemic Stroke (REACH) program was developed to address these issues in rural settings. A key component of stroke assessment in the REACH system is the National Institutes of Healt...

National Institutes of Health Stroke Scale (NIHSS).

Power of National Institutes of Health Stroke Scale in Assessing Stroke Systems of Care

T he timely article by Fonarow and colleagues in this issue of JAHA reports the findings from the largest study to date on the relation of the National Institutes of Health Stroke Scale (NIHSS) score with 30-day mortality rate in patients hospitalized for acute ischemic stroke.1 Prior smaller, largely single center, studies have reported similar results but this work used the largest data set t...