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Prospective reliability of the STRokE DOC Wireless/Site Independent Telemedicine System

From the Department of Neurosciences (Drs. Meyer, Lyden, Al-Khoury, Cheng, and Zivin), UCSD School of Medicine; Department of Family and Preventive Medicine and Neurosciences (Dr. Raman), UCSD Medical Center; BF Technologies, Inc. (Dr. Fellman and J. Beer); and California Information Telecommunications and Technology (Dr. Rao), San Diego, CA.

Address correspondence and reprint requests to Dr. Brett C. Meyer, Department of Neurosciences, UCSD School of Medicine, Stroke Center (8466), 3rd Floor, OPC, Suite 3, 200 West Arbor Drive, San Diego, CA 92103-8466; e-mail: bcmeyer{at}ucsd.edu

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 0.93. This Internet system is reliable and valid. Further studies should assess its use in acute stroke.

Supported in part by a grant from the National Institute of Health (P50NS044148), the California Institute of Telecommunications Technology, and by the Veterans Affairs Department, Research Division. R.F. and J.B. are employees of BF Technologies, Inc. and have equity interest in the company.

Received June 23, 2004. Accepted in final form November 19, 2004.

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