美国国立卫生研究院卒中量表在护理人员和卒中医卡塔尔世界杯8强波胆分析师之间的互译协议:挪威急救人员急性卒中院前项目数字化培训模式的验证研究[A Guterud,Mona %A Bugge,Helge Fagerheim %A Røislien,Jo %A Larsen,Karianne %A Eriksen,Erik %A Ingebretsen,Svein ha %A Mikkelsen,Martin Lerstang %A Kramer-Johansen,Jo %A Bache,Kristi G %A Sandset,Else Charlotte %A Hov,Maren Ranhoff %+研究部门，挪威空中救护基金会，post - 14, Sentrum，奥斯陆，0103,47 41557580，mona.guterud@norskluftambulanse.no %K护理人员%K中风%K救护车%K国立卫生研究院中风量表%K NIHSS %K培训%K数字化%K interterer %K协议%K挪威%K急性%K治疗%K医院%K时间%K通信%K救护车%K移动应用%K临床试验%K医生%K数字化%K模拟%D 2022 %7 11.8.2022 %9原文%J JMIR神经技术%G英语%X在急性卒中院前护理阶段花费的时间是多因素的，对急性治疗的可能性有影响。护理人员和住院中风团队之间的沟通直接影响到治疗时间。一个共同的中风量表，如美国国立卫生研究院中风量表(NIHSS)可以改善沟通质量。护理人员挪威急性卒中院前项目(ParaNASPP)是一项阶梯式随机试验，在救护车中使用NIHSS进行卒中筛查，干预措施是培训护理人员卒中和NIHSS，并将NIHSS制作成移动应用程序，以指导检查并促进与院内卒中团队的沟通。目的:本研究的目的是验证来自ParaNASPP临床试验的数字训练模型。方法:从挪威奥斯陆大学医院招募24名护理人员完成ParaNASPP培训模式;录制20个预置NIHSS评分的独家视频; and 4 stroke physicians from Oslo University Hospital were included for reference. Bland-Altman plots with 95% limits of agreement (LoA) were calculated—first comparing paramedics and stroke physicians to the predefined scores and then with each other. The predefined LoA were set to 3 points. To align with clinical practice, NIHSS scores were also dichotomized into 2 categories: from 0-5 (minor stroke) or ≥6 (moderate and major stroke), and agreement was calculated using Cohen κ. Results: The videos (n=20) had a median (range) NIHSS score of 7 (0-31). The paramedics’ scores were slightly higher than the predefined scores with a mean difference of –0.38 and the LoA ranging from –4.04 to 3.29. The paramedics scored higher than the stroke physicians with a mean difference of –0.39, with the LoA ranging from –4.58 to 3.80. When the NIHSS scores were dichotomized, Cohen κ was 0.89 between the predefined scores and paramedics, 0.92 between the predefined scores and stroke physicians, and 0.81 between the paramedics and stroke physicians, all indicating very good agreement. Conclusions: The paramedics scored higher than both the predefined scores and stroke physicians’ scores, hence the predefined LoA were not met. However, the width of the LoA was smaller than seen when experienced neurologists are compared. When the NIHSS scores were dichotomized, the paramedics achieved very good agreement with both the predefined scores and stroke physicians’ scores. This study demonstrates the possibilities for the transfer of clinical competence in digital simulation training. %R 10.2196/39444 %U https://neuro.www.mybigtv.com/2022/1/e39444 %U https://doi.org/10.2196/39444