RT Journal Article SR Electronic T1 Feasibility and accuracy of teleconcussion for acute evaluation of suspected concussion JF Neurology JO Neurology FD Lippincott Williams & Wilkins SP 1580 OP 1583 DO 10.1212/WNL.0000000000003841 VO 88 IS 16 A1 Bert B. Vargas A1 Morgan Shepard A1 Joseph G. Hentz A1 Cherisse Kutyreff A1 L. George Hershey A1 Amaal J. Starling YR 2017 UL http://n.neurology.org/content/88/16/1580.abstract AB Objective: To assess the feasibility and accuracy of telemedical concussion evaluations (teleconcussion) for real-time athletic sideline assessment of concussion, as such assessment may address the gap in access some populations of athletes have to providers with expertise in concussion evaluation.Methods: A cohort of 11 consecutive male collegiate football players with suspected concussion was assessed using Standardized Assessment of Concussion (SAC), King-Devick test (K-D), and modified Balance Error Scoring System (mBESS). A remote neurologist assessed each athlete using a telemedicine robot with real-time, 2-way audiovisual capabilities, while a sideline provider performed a simultaneous face-to-face assessment. After the assessment, a remove-from-play (RFP) determination was made. The remote and the face-to-face providers were blinded to each other’s examination findings and RFP decision until the end of the assessment.Results: The teleconcussion and face-to-face SAC were in agreement 100% of the time (6/6; 95% confidence interval [CI] 54%–100%). The mean (SD) difference between remote and sideline K-D times was 0.7 (1.4) seconds. Remote and sideline K-D times were within a 3-second difference 100% of the time (11/11; 95% CI 72%–100%). Remote and sideline mBESS scores were within 3 points 100% of the time (6/6; 95% CI 54%–100%). RFP decisions were in agreement 100% of the time (11/11; 95% CI 72%–100%).Conclusions: The aim of this study was to investigate the feasibility of teleconcussion for sideline concussion assessments. These data suggest a high level of agreement between remote and face-to-face providers with regard to examination findings and RFP determinations.CI=confidence interval; K-D=King-Devick test; mBESS=modified Balance Error Scoring System; RFP=remove-from-play; SAC=Standardized Assessment of Concussion; TBI=traumatic brain injury