Validity of the remote evaluation of NIH Stroke Scale, modified Rankin Scale and Barthel Index using a tablet device (iPad&lt;sup&gt;®&lt;/sup&gt;).

健司, 伊佐早; 直誠, 鷹尾; 瑶子, 土橋; 久尚, 秋山; 泰弘, 長谷川

doi:10.3995/jstroke.10734

Cited by 3 publications

(4 citation statements)

References 14 publications

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“…Significant correlations between the BI score with measurements of GDS-15, SWLS, and VAS supported the BI's criterion-related validity with was reported in most previous validity studies. 30,31 The BI had a satisfactory internal consistency coefficient of 0.903, which was generally consistent with that reported in previous studies ranging from 0.69 32 to 0.96. 33 The dimensionality of The mean item-total correlation of the Barthel Index.…”

Section: Discussionsupporting

confidence: 88%

“…We observed significant variances of the participants' ADL score across age, gender, education and health status subgroups, which confirmed the known‐group validity of the BI. Significant correlations between the BI score with measurements of GDS‐15, SWLS, and VAS supported the BI's criterion‐related validity with was reported in most previous validity studies 30,31 . The BI had a satisfactory internal consistency coefficient of 0.903, which was generally consistent with that reported in previous studies ranging from 0.69 32 to 0.96 33 .…”

Section: Discussionsupporting

confidence: 86%

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Psychometric properties of the Barthel Index for evaluating physical function among Chinese oldest‐old

Zhang

et al. 2022

JCSM Clinical Reports

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BackgroundThe Barthel Index (BI) is among the most widely used instruments for evaluating physical function, yet its applicability has not been well studied in the oldest-old population. Objective To test the psychometric properties of the BI for evaluating physical activities of daily living (ADL) in a large representative sample of oldest-old population in China. Methods Participants were 1750 oldest-old adults (aged 80-116 years, 72.11% female) including 956 centenarians. ADL were assessed during face-to-face interviews. Multiple methodologies were applied to evaluate the reliability, validity and measurement invariance of the BI. An item response theory (IRT) framework was conducted to estimate the parameters of each item. Results 48.91% participants had function dependence. Cronbach's α coefficient of the BI was 0.902, but 'Stair climbing' impaired the overall internal consistency. The known-group validity of the BI was confirmed by significant differences in the BI score across age (P < 0.001), gender (P < 0.001), education (P < 0.001) and ethnicity (P = 0.038). The criterion-related validity was supported by significant correlations between the BI score with depression symptoms (r = À0.36, P < 0.001), subjective well-being (r = 0.23, P < 0.001) and self-report health status (r = 0.22, P < 0.001). Factor analysis yielded a two-factor structure (somatic function and physiological self-care) with appropriate invariance. Ten items showed acceptable discrimination parameters (1.80-5.87) and difficulty parameters (À2.65-1.11) but had variant test information (1.73-10.22). 'Bower control' and 'Bladder control' were not conducive to the local independence. Conclusions The BI has appropriate reliability, validity and measurement precision for community-based Chinese oldest-old and centenarians, but individual items have low quality. Somatic disability and incontinence are two latent categories of functional dependence in this population. Living environment needs to be taken into consideration for ADL instrument development and modification.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 86%

Psychometric properties of the Barthel Index for evaluating physical function among Chinese oldest‐old

Zhang

et al. 2022

JCSM Clinical Reports

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“…There are concerns regarding the possibility of determining the NIHSS score through telemedicine consultations within an appropriate time. Isahaya et al reported that there was no difference in the accuracy of evaluating the NIHSS score regardless of whether a video transmission system was used or if a “face-to-face” examination of the patient was performed 14 ) . Another concern is the potential difference in the therapeutic effect and the rate of complications between a general physician administering rt-PA therapy with telemedicine support and a specialist infusing it at a stroke center.…”

Section: Discussionmentioning

confidence: 99%

A case of acute cerebral infarction with a favorable prognosis after rt-PA administration by a general physician with telestroke support

Ochiai

Kanemaru

Matsuda³

et al. 2021

J Rural Med

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Objective: Herein, we report a patient with acute cerebral infarction with a favorable prognosis after being managed by a general physician with support from the telestroke program. Patient and Methods: An 85-year-old man was transferred to a regional hospital due to sudden onset of dysarthria and left hemiparesis. As no neurosurgeons or neurologists were available in that hospital or area, the patient was examined by a general physician who diagnosed him with cardioembolic stroke on the left middle cerebral artery territory. The physician consulted a stroke specialist using the telestroke system; with the support from the telestroke program, the physician administered thrombolytic therapy 4 hours and 10 minutes after the onset of symptoms. Results: The patient’s National Institutes of Health Stroke Scale score improved from 9 to 3 and he was subsequently transferred to the stroke center. However, the occluded left middle cerebral artery had already re-canalized. His hemiparesis completely improved one week after the onset. Conclusion: A telemedicine system for general physicians is indispensable in areas without accessible stroke specialists as it provides access to a standard of care for hyper-acute stroke patient assessment and management, and helps improve neuroprognosis.

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“…We further thought that enabling real‐time discussions using a videophone system was essential for the general physicians to be able to consult with a specialist face‐to‐face. Furthermore, Isahaya et al 13 reported that there was no difference in the accuracy of evaluating the NIHSS score whether using a video transmission system or face‐to‐face with the patient. Taken together, a telemedicine device with a thin client viewer system plus videophone was a useful and practical tool for stroke telemedicine.…”

Section: Discussionmentioning

confidence: 99%

Implementation of a telestroke system for general physicians without a nearby stroke center to shorten the time to intravenous thrombolysis for acute cerebral infarction

Ochiai

Ohta

Kanemaru

et al. 2020

Acute Medicine & Surgery

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Aim We aimed to establish a telestroke system for general physicians in areas without a nearby stroke center and investigate its usefulness for recombinant tissue plasminogen activator (rt‐PA) therapy for patients with acute cerebral infarction. Methods We used a hub and spoke model, in which a hub hospital provided telestroke support to the spoke hospitals in rural areas that were not nearby a stroke center. The telestroke support device enabled the sharing of images and real‐time face‐to‐face discussion with a stroke specialist for diagnosis and treatment. We evaluated the effect of this telestroke system on shortening time to start rt‐PA therapy. Result One hub and three spoke hospitals were selected. From May 2017 to November 2018, seven patients (77.2 ± 6.3 years old) suspected to have acute cerebral infarction were treated at the spoke hospitals via this system, three of whom received intravenous rt‐PA administration by a general physician under telestroke support. If these patients would have been sent via ground ambulance to the nearby stroke center, it would have taken approximately 48 min more to administer rt‐PA. Conclusion Establishment of a telestroke support system for general physicians in areas without a nearby stroke center was useful for promptly performing rt‐PA therapy.

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Validity of the remote evaluation of NIH Stroke Scale, modified Rankin Scale and Barthel Index using a tablet device (iPad<sup>®</sup>).

Cited by 3 publications

References 14 publications

Psychometric properties of the Barthel Index for evaluating physical function among Chinese oldest‐old

Psychometric properties of the Barthel Index for evaluating physical function among Chinese oldest‐old

A case of acute cerebral infarction with a favorable prognosis after rt-PA administration by a general physician with telestroke support

Implementation of a telestroke system for general physicians without a nearby stroke center to shorten the time to intravenous thrombolysis for acute cerebral infarction

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