文摘
摘要目的:评估inter-examiner协议脑震荡的虚拟远程医疗检查和确定协议执行的虚拟和面对面的脑震荡检查相同的医生。
背景:我们开发了一个虚拟的脑震荡远程医疗检查通过适应几个办公室检查方法。虚拟考试是脑震荡比面对面考试检查可靠性和验证通过视听传播的会议远程医疗技术的使用。
设计/方法:虚拟脑震荡检查表格,说明如何执行这是发达。标准化考试包括29个元素,如直立的宽容,ocularmotor考试,和平衡测试。我们招收21参与者提到纽约大学脑震荡初始冲击评估中心。两个虚拟脑震荡远程医疗检查进行了研究后在办公室设置招生;检查被执行治疗医生和另一个被另一个医生完整模型。面对面的脑震荡检查被执行的治疗医生。我们使用科恩Kappa确定inter-modality和inter-examiner协议。
结果:我们决心科恩kappa评估协议二分考试评分为29日考试的每个元素在21个参与者。Kappa值inter-examiner协议范围从0.31 - -1.0,平均k = 0.76;45%的考试元素之间有极好的inter-examiner协议两个远程医疗审查员(kappa > 0.75),而75%的考试元素至少有中间inter-examiner协议的远程医疗检查(kappa > 0.40)。在相同的远程医疗与面对面考试考官,科恩kappa值更高,整体值从0.48 - -1.0。
结论:我们发现治疗医师的虚拟和面对面脑震荡检查结果很大程度上同意了。然而,虚拟脑震荡考试之间有更少的协议由两个不同的医生。这表明,专业知识和经验的检查医生变异性做出更多贡献,比形态或区域的检查。本研究为调查面对面之间的可靠性和teleneurology考试。首页
披露:杰克没有披露。错过狄尼没有披露。贝尔先生没有披露。Binu约瑟夫没有披露。海曼女士没有披露。Galetta博士没有披露。立即家人Balcer博士已收到个人薪酬在5000 - 9999美元的范围作为费城儿童医院的顾问。Balcer博士已经收到个人薪酬在50000 - 99999美元的范围作为一个编辑,副主编,或编辑顾问委员会成员对北美Neuro-Ophthalmology社会。Willer教授没有披露。海德尔先生已经收到个人薪酬在10000 - 49999美元的范围为BlinkCNS担任顾问。 The institution of Mr. Haider has received research support from NIH. Dr. Saleem has nothing to disclose. Dr. Grossman has nothing to disclose. Dr. Leddy has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Neurolign. Dr. Leddy has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Stage 2 Contract Engineering. Dr. Leddy has received stock or an ownership interest from Highmark Innovations. The institution of Dr. Leddy has received research support from NIH. The institution of Dr. Leddy has received research support from DoD. The institution of Dr. Leddy has received research support from AMSSM. Dr. Busis has received personal compensation in the range of $500-$4,999 for serving as a Consultant for American Academy of Neurology. Dr. Busis has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology Today. Dr. Torres has received publishing royalties from a publication relating to health care.
