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Subacute ischemic stroke rehabilitation outcomes in working-age adults: The role of aphasia in cognitive functional independence.
- Source :
- Topics in Stroke Rehabilitation; Jul2021, Vol. 28 Issue 5, p378-389, 12p
- Publication Year :
- 2021
-
Abstract
- About one-third of adult stroke patients suffer from aphasia when they are discharged from hospital. Aphasia seems to be a negative predictive factor affecting post-stroke functional recovery after rehabilitation, but this association has been scarcely addressed in previous research. We aim to evaluate the impact of aphasia in cognitive functional outcomes in working-age first-ever ischemic stroke adults. Retrospective observational cohort study. One hundred and thirty ischemic (≤ 64 years old) adult stroke patients (43.07% with aphasia) admitted to a rehabilitation center between 2007 and 2019 were analyzed. Univariate and multivariate linear regressions were performed using state-of-the-art variables (stroke severity, gender, age) extending them with potential confounders (e.g. diabetes, medication for depression). The cognitive subtest (C-FIM) of the Functional Independence Measure (FIM) at discharge and C-FIM gain were the dependent variables. Patients with aphasia (PWA) had lower C-FIM scores at admission and at discharge. No significant differences were observed in relation to C-FIM gain, C-FIM efficiency, C-FIM effectiveness and length of stay (LOS). C-FIM gain was remarkably higher though non-significant (p =.059) in PWA. Regression analysis identifies C-FIM at admission and aphasia as significant predictors of C-FIM at discharge (R<superscript>2</superscript> = 0.72). The same variables plus taking medication for depression predicted C-FIM gain (R<superscript>2</superscript> = 0.38). We identified no significant differences in C-FIM outcomes (gain, efficiency and effectiveness) either in LOS between PWA and patients without aphasia, though C-FIM differences were significant at admission and discharge. Aphasia was a significant predictor of C-FIM gain and C-FIM at discharge. [ABSTRACT FROM AUTHOR]
- Subjects :
- STATISTICS
RELATIVE medical risk
KRUSKAL-Wallis Test
SCIENTIFIC observation
REHABILITATION centers
FUNCTIONAL status
MULTIPLE regression analysis
AGE distribution
COGNITION
RETROSPECTIVE studies
REGRESSION analysis
NIH Stroke Scale
TREATMENT effectiveness
APHASIA
SEX distribution
COMPARATIVE studies
STROKE rehabilitation
RESEARCH funding
INDEPENDENT living
DISABILITIES
CHI-squared test
DATA analysis software
STATISTICAL correlation
DATA analysis
LONGITUDINAL method
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 10749357
- Volume :
- 28
- Issue :
- 5
- Database :
- Supplemental Index
- Journal :
- Topics in Stroke Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 151582223
- Full Text :
- https://doi.org/10.1080/10749357.2020.1818479