ArticleNeurologia medico-chirurgica2025
Feasibility and Reliability of a Novel Tele-stroke Care Unit System in a Japanese Hospital.
Article in Neurologia medico-chirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Stroke care units, which provide intensive management for acute stroke, are widely used in Japan. However, recent legal restrictions on physicians' overtime may challenge continuous specialist coverage, particularly in resource-limited settings. To address this issue, we developed a tele-stroke care units system that provides remote support from stroke specialists. We aimed to evaluate the feasibility and reliability of this system for remote neurological assessment. The system integrates live-streaming and medical image viewing between a local stroke care unit and a remote university hospital through the International Organization for Standardization 27001-compliant Join LiveView application (Allm, Inc., Japan). Remote physicians accessed real-time videos through ceiling-mounted pan-tilt-zoom cameras and communicated bidirectionally using a wireless speaker. We assessed the audiovisual quality, conducted remote National Institutes of Health Stroke Scale examinations in 20 patients with stroke, and compared the results with those of bedside assessments. Remote physicians successfully evaluated all National Institutes of Health Stroke Scale categories using camera-zoom functions, with or without local staff assistance. Video and audio quality were sufficient for clinical assessment and communication. Median total National Institutes of Health Stroke Scale scores were 7.5 (bedside) and 6.5 (remote). Excellent or perfect inter-rater reliability was observed in all 13 categories, with a total score correlation coefficient of 0.998 (p < 0.0001). The tele-stroke care unit system showed sufficient audiovisual quality for effective remote neurological assessment and may serve as a practical solution for acute stroke management in facilities facing workforce shortages, thereby contributing to sustainable stroke care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.