The authors evaluated a site-independent telemedicine system.Telemedicine may be limited by the need for fixed connectivity.Wireless and site-independent te chnologies eliminate this limitation.Twenty-five stroke patients underwent eval uations by remote and bedside examiners. Ten of 15 (67%) NIH Stroke Scale and 9 of 11 (82%) Modified NIH Stroke Scale items showed excellent interrater reliab ility. Spearman correlations were ≥0.93. This Internet system is reliable and v alid. Further studies should assess its use in acute stroke.
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