Mobile device for thrombolysis decisions for telestroke
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Redalyc
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| Format: | Artículo científico |
| Langue: | en |
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Universidad del Valle
2018
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| _version_ | 1876428076644040704 |
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| author | Antonio J Salazar |
| author_facet | Antonio J Salazar |
| contents | Mobile device for thrombolysis decisions for telestroke Antonio J Salazar Nicolás Useche Manuel F Granja Aníbal J Morillo Sonia Bermúdez Didier Sossa Claudia J Ortiz Oscar J Torres Brenda Ropero Medicina stroke aneurysm handheld computers Infarction Aim: This study compares the reliability of brain CT interpretations performed using a diagnostic workstation and a mobile tablet computer in a telestroke context. Methods: A factorial design with 1,452 interpretations was used. Reliability was evaluated using the Fleiss’ kappa coefficient on the agreements of the interpretation results on the lesion classification, presence of imaging contraindications to the intravenous recombinant tissue-type plasminogen activator (t-PA) administration, and on the Alberta Stroke Program Early CT Score (ASPECTS). Results: The intra-observer agreements were as follows: good agreement on the overall lesion classification (κ= 0.63, p<0.001), very good agreement on hemorrhagic lesions (κ= 0.89, p<0.001), and moderate agreements on both without acute lesion classification and acute ischemic lesion classification (κ= 0.59 and κ= 0.58 respectively, p<0.001). There was good intra-observer agreement on the dichotomized-ASPECTS (κ= 0.65, p<0.001). Conclusions: The results of our study allow us to conclude that the reliability of the mobile solution for interpreting brain CT images of patients with acute stroke was assured, which would allow efficient and low-cost telestroke services. 2018 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28358186002 https://www.redalyc.org/journal/283/28358186002/ https://www.redalyc.org/journal/283/28358186002/html/ https://www.redalyc.org/journal/283/28358186002/28358186002.epub https://www.redalyc.org/journal/283/28358186002/movil 10.25100/cm.v49i4.3921 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.49 |
| format | Artículo científico |
| id | redalyc_28358186002 |
| institution | Redalyc |
| language | en |
| publishDate | 2018 |
| publisher | Universidad del Valle |
| spellingShingle | Mobile device for thrombolysis decisions for telestroke Antonio J Salazar Medicina stroke aneurysm handheld computers Infarction Mobile device for thrombolysis decisions for telestroke Antonio J Salazar Nicolás Useche Manuel F Granja Aníbal J Morillo Sonia Bermúdez Didier Sossa Claudia J Ortiz Oscar J Torres Brenda Ropero Medicina stroke aneurysm handheld computers Infarction Aim: This study compares the reliability of brain CT interpretations performed using a diagnostic workstation and a mobile tablet computer in a telestroke context. Methods: A factorial design with 1,452 interpretations was used. Reliability was evaluated using the Fleiss’ kappa coefficient on the agreements of the interpretation results on the lesion classification, presence of imaging contraindications to the intravenous recombinant tissue-type plasminogen activator (t-PA) administration, and on the Alberta Stroke Program Early CT Score (ASPECTS). Results: The intra-observer agreements were as follows: good agreement on the overall lesion classification (κ= 0.63, p<0.001), very good agreement on hemorrhagic lesions (κ= 0.89, p<0.001), and moderate agreements on both without acute lesion classification and acute ischemic lesion classification (κ= 0.59 and κ= 0.58 respectively, p<0.001). There was good intra-observer agreement on the dichotomized-ASPECTS (κ= 0.65, p<0.001). Conclusions: The results of our study allow us to conclude that the reliability of the mobile solution for interpreting brain CT images of patients with acute stroke was assured, which would allow efficient and low-cost telestroke services. 2018 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28358186002 https://www.redalyc.org/journal/283/28358186002/ https://www.redalyc.org/journal/283/28358186002/html/ https://www.redalyc.org/journal/283/28358186002/28358186002.epub https://www.redalyc.org/journal/283/28358186002/movil 10.25100/cm.v49i4.3921 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.49 |
| title | Mobile device for thrombolysis decisions for telestroke |
| topic | Medicina stroke aneurysm handheld computers Infarction |
| url | https://www.redalyc.org/articulo.oa?id=28358186002 https://www.redalyc.org/journal/283/28358186002/ https://www.redalyc.org/journal/283/28358186002/html/ https://www.redalyc.org/journal/283/28358186002/28358186002.epub https://www.redalyc.org/journal/283/28358186002/movil |