Hope Haynes Bussenius, Zoe Deem, David D.J. Demers
{"title":"Development of the HINTS/HINTS+ Exam Smartphone App and AI Integration","authors":"Hope Haynes Bussenius, Zoe Deem, David D.J. Demers","doi":"10.1016/j.nurpra.2025.105471","DOIUrl":null,"url":null,"abstract":"<div><div>This project examined the effectiveness of the new technology HINTS/HINTS+ (Head-Impulse, Nystagmus, Test of Skew, plus hearing) exam in detecting posterior circulation strokes, which often present atypically and delay treatment. We developed an iOS application to support the HINTS/HINTS+ exam and improve stroke detection. Ten patients with vestibular symptoms were assessed using the application, with 1 correctly identified central and 9 peripheral pathologies. The application showed 100% sensitivity and 66.7% specificity. It allowed video replay for examiners to assess nystagmus and head impulse saccades better than clinical nonvideo testing. Results suggest wider HINTS application use, with future improvements through artificial intelligence.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 8","pages":"Article 105471"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525001540","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
This project examined the effectiveness of the new technology HINTS/HINTS+ (Head-Impulse, Nystagmus, Test of Skew, plus hearing) exam in detecting posterior circulation strokes, which often present atypically and delay treatment. We developed an iOS application to support the HINTS/HINTS+ exam and improve stroke detection. Ten patients with vestibular symptoms were assessed using the application, with 1 correctly identified central and 9 peripheral pathologies. The application showed 100% sensitivity and 66.7% specificity. It allowed video replay for examiners to assess nystagmus and head impulse saccades better than clinical nonvideo testing. Results suggest wider HINTS application use, with future improvements through artificial intelligence.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
