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Titulo Artículo:
Mobile device for thrombolysis decisions for telestroke
Resumen:
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.
Fecha de publicación:
2018.
Autores :
Nicolás Useche;
Manuel F Granja;
Sonia Bermúdez;
Didier Sossa;
Claudia J Ortiz;
Oscar J Torres;
Brenda Ropero;
Aníbal J Morillo;
Antonio J Salazar;
Autor corporativo:
Colombia Medica,
Editores:
Redalyc ;
Signatura Topográfica:
4
Idioma:
Inglés
Páginas:
254
ISBN:
1657-9534
Existencias:
260
Palabras claves:
Infarction
Mobil device
Middle cerebral artery
Stroke
Cerebrovascular disorders
Intracranial hemorrhages
Público objetivo:
Posgrado
Docentes
Medicos
Investigadores
Educadores Medicos
Titulo Artículo:
Mobile device for thrombolysis decisions for telestroke
Resumen:
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.
Fecha de publicación:
2018.
Autores :
Nicolás Useche;
Manuel F Granja;
Sonia Bermúdez;
Didier Sossa;
Claudia J Ortiz;
Oscar J Torres;
Brenda Ropero;
Aníbal J Morillo;
Antonio J Salazar;
Autor corporativo:
Colombia Medica,
Editores:
Redalyc ;
Signatura Topográfica:
4
Idioma:
Inglés
Páginas:
254
Existencias:
260
Palabras claves:
Infarction
Mobil device
Middle cerebral artery
Stroke
Cerebrovascular disorders
Intracranial hemorrhages
Público objetivo:
Posgrado
Docentes
Medicos
Investigadores
Educadores Medicos
Titulo Artículo:
Mobile device for thrombolysis decisions for telestroke
Resumen:
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.
Autores:
Nicolás Useche
,
Manuel F Granja
,
Sonia Bermúdez
,
Didier Sossa
,
Claudia J Ortiz
,
Oscar J Torres
,
Brenda Ropero
,
Aníbal J Morillo
,
Antonio J Salazar
,
.
Titulo Revista:
Colombia Medica,
.
Numero:
4
Volumen:
49
Fecha de publicación:
2018.
Base de Datos Bibliográfica:
Redalyc ,
.
Suplemento:
Idioma:
Inglés
Página Inicial:
254
Página Final:
260
ISBN:
1657-9534
Palabras claves:
Infarction
Mobil device
Middle cerebral artery
Stroke
Cerebrovascular disorders
Intracranial hemorrhages
Público objetivo:
Posgrado
Docentes
Medicos
Investigadores
Educadores Medicos
Título Redalyc :
Mobile device for thrombolysis decisions for telestroke
Resumen:
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.
Autores :
Nicolás Useche;
Manuel F Granja;
Sonia Bermúdez;
Didier Sossa;
Claudia J Ortiz;
Oscar J Torres;
Brenda Ropero;
Aníbal J Morillo;
Antonio J Salazar;
Autor corporativo:
Colombia Medica,
Fecha de publicación:
2018.
Tipo :
Redalyc .
Idioma:
Inglés
Palabras claves:
Infarction
Mobil device
Middle cerebral artery
Stroke
Cerebrovascular disorders
Intracranial hemorrhages
Público objetivo:
Posgrado
Docentes
Medicos
Investigadores
Educadores Medicos
Título Redalyc :
Mobile device for thrombolysis decisions for telestroke
Resumen:
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.
Autores :
Nicolás Useche;
Manuel F Granja;
Sonia Bermúdez;
Didier Sossa;
Claudia J Ortiz;
Oscar J Torres;
Brenda Ropero;
Aníbal J Morillo;
Antonio J Salazar;
Autor corporativo:
Colombia Medica,
Fecha de publicación:
2018.
Paginas:
254.
ISBN:
1657-9534.
Idioma:
Inglés
Palabras claves:
Infarction
Mobil device
Middle cerebral artery
Stroke
Cerebrovascular disorders
Intracranial hemorrhages
Público objetivo:
Posgrado
Docentes
Medicos
Investigadores
Educadores Medicos
Titulo Artículo:
Mobile device for thrombolysis decisions for telestroke
Resumen:
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.
Fecha de publicación:
2018.
Autor corporativo:
Colombia Medica,
.
Idioma:
Inglés
Palabras claves:
Infarction
Mobil device
Middle cerebral artery
Stroke
Cerebrovascular disorders
Intracranial hemorrhages
Público objetivo:
Posgrado
Docentes
Medicos
Investigadores
Educadores Medicos
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Nicolás Useche Manuel F Granja Sonia Bermúdez Didier Sossa Claudia J Ortiz Oscar J Torres Brenda Ropero Aníbal J Morillo Antonio J Salazar Nicolás Useche Manuel F Granja Sonia Bermúdez Didier Sossa Claudia J Ortiz Oscar J Torres Brenda Ropero Aníbal J Morillo Antonio J Salazar Mobile device for thrombolysis decisions for telestroke. 2018; 49Ed. 254.
