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Telemedicine can be used for accurate diagnosis of stroke symptoms

rs with integrated video cameras, connected by standard high-speed data transmission lines. Neither neurologist had any prior knowledge of the study participants or of the results of the other physician's assessments.

Analysis of the two sets of examinations showed no significant differences in the overall results. Although the telemedicine exam took 3 to 5 minutes longer, the variations in NIHSS score (which reflects factors such as language, strength, sensation, vision and comprehension) between the bedside and telemedicine examinations were no different than would be expected between two different bedside examiners.

"Now that we have shown that you can accurately and safely make a diagnosis with this kind of link, the next step will be evaluating the technology in real-time diagnostic situations," says Schwamm. He adds that the kinds of video connections tested in this study are now becoming widely available through high-speed cable and other broad-band communications systems.

"This sort of system has the potential to collapse barriers of time and distance between patients and providers. Ultimately it could be brought into settings like doctor's offices, nursing homes or athletic facilities, bringing telemedicine into another level of reality."

Co-authors of the study are Saad Shafqut, M.D., PhD; Joseph Kvedar, M.D.; Mary Guanci, RN, MSN; and Yuchiao Chang, Ph.D., all of the MGH.


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Contact: Susan McGreevey
smcgreevey@partners.org
617-724-2764
Massachusetts General Hospital
8-Oct-1999


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