Robot doctors

Abstract

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Advances in Stroke: Neurohospitalist—Inpatient Teleneurology for Longitudinal Stroke Care

“…There are aspects to the neurological examination (eg, nuanced eye movements; detailed sensory, motor, and reflex testing) that can elucidate etiology of the stroke or point to clinical deterioration during an admission, which the virtual provider cannot evaluate directly. 7 In addition to challenges related to an examination done via video, the Key Words: COVID-19 ◼ hospitalists ◼ hospitals ◼ inpatients ◼ stroke ◼ telemedicine lack of a physical presence at the bedside (or the hospital) prevents more informal interactions with patients, families, nurses, therapists, and other staff members that can help establish rapport and provide valuable information regarding a patient's living situation, medication adherence, and challenges they may face after discharge. The research suggesting that virtual longitudinal stroke care is noninferior to in-person care is methodologically limited, which makes it challenging to apply in practice.…”