Predictors of functional communication in people with aphasia after stroke
Background Aphasia, the most common language disorder secondary to stroke, has been associated with increased mortality, longer hospitalization and rehabilitation times, worse performance in daily activities, increased financial burden, and short- and long-term complications. Aphasia can negatively...
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Thieme Revinter Publicações
2022-07-01
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755267 |
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| author | Adriana Fernandes Helena Fraga-Maia Iara Maso Isabela Guimarães Matos Lene Gomes Matheus Matos Andressa Santana Jamary Oliveira-Filho Pedro Antônio de Jesus Elen Beatriz Pinto |
| author_facet | Adriana Fernandes Helena Fraga-Maia Iara Maso Isabela Guimarães Matos Lene Gomes Matheus Matos Andressa Santana Jamary Oliveira-Filho Pedro Antônio de Jesus Elen Beatriz Pinto |
| author_sort | Adriana Fernandes |
| collection | DOAJ |
| description | Background Aphasia, the most common language disorder secondary to stroke, has been associated with increased mortality, longer hospitalization and rehabilitation times, worse performance in daily activities, increased financial burden, and short- and long-term complications. Aphasia can negatively impact functional communication skills, including social networks, social activities, relationships with other people and social support.
Objective To evaluate patients with poststroke aphasia in their respective residences to investigate potential predictors of functional communication.
Methods The prospective cohort included patients with poststroke aphasia aged 18 years or older who resided in the city of Salvador, Northeastern Brazil. Following discharge from the Stroke Unit (SU), the individuals themselves, or their guardians, were contacted by telephone to schedule a home visit no less than three months after discharge. At baseline, sociodemographic and clinical data were collected, in addition to the scores on the National Institutes of Health Stroke Scale (NIHSS) and modified Barthel Index (mBI). The American Speech-Language-Hearing Association Functional Assessment of Communication Skills for Adults (ASHA FACS) was applied at the patients' homes. Multivariate linear regression was employed using the total score on the ASHA FACS as the outcome of interest.
Results A multivariate analysis of the associated factors identified using the linear regression revealed that only functional capacity (as assessed by the mBI) upon discharge from the SU remained as an independent predictor of functional communication performance (β = 0.042; 95% confidence interval [95%CI] = 0.013–0.071; p = 0.002).
Conclusion The functional capacity to perform daily activities, evaluated upon discharge from a stroke unit, was identified as a potential predictor of functional communication performance, regardless of the time elapsed after the stroke. |
| format | Article |
| id | doaj-art-e215178f81a6418abcbdfa978109ceeb |
| institution | OA Journals |
| issn | 0004-282X 1678-4227 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-e215178f81a6418abcbdfa978109ceeb2025-08-20T02:04:21ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria0004-282X1678-42272022-07-01800768168810.1055/s-0042-1755267Predictors of functional communication in people with aphasia after strokeAdriana Fernandes0Helena Fraga-Maia1Iara Maso2Isabela Guimarães Matos3Lene Gomes4Matheus Matos5Andressa Santana6Jamary Oliveira-Filho7Pedro Antônio de Jesus8Elen Beatriz Pinto9Escola Bahiana de Medicina e Saúde Pública, Grupo de Pesquisa em Neurorreabilitação e Comportamento Motor, Salvador BA, Brazil.Universidade do Estado da Bahia, Salvador BA, Brazil.Escola Bahiana de Medicina e Saúde Pública, Grupo de Pesquisa em Neurorreabilitação e Comportamento Motor, Salvador BA, Brazil.Escola Bahiana de Medicina e Saúde Pública, Grupo de Pesquisa em Neurorreabilitação e Comportamento Motor, Salvador BA, Brazil.Escola Bahiana de Medicina e Saúde Pública, Grupo de Pesquisa em Neurorreabilitação e Comportamento Motor, Salvador BA, Brazil.Escola Bahiana de Medicina e Saúde Pública, Grupo de Pesquisa em Neurorreabilitação e Comportamento Motor, Salvador BA, Brazil.Escola Bahiana de Medicina e Saúde Pública, Grupo de Pesquisa em Neurorreabilitação e Comportamento Motor, Salvador BA, Brazil.Universidade Federal da Bahia, Departamento de Biomorfologia, Salvador BA, Brazil.Hospital Geral Roberto Santos, Unidade de AVC, Salvador BA, Brazil.Escola Bahiana de Medicina e Saúde Pública, Grupo de Pesquisa em Neurorreabilitação e Comportamento Motor, Salvador BA, Brazil.Background Aphasia, the most common language disorder secondary to stroke, has been associated with increased mortality, longer hospitalization and rehabilitation times, worse performance in daily activities, increased financial burden, and short- and long-term complications. Aphasia can negatively impact functional communication skills, including social networks, social activities, relationships with other people and social support. Objective To evaluate patients with poststroke aphasia in their respective residences to investigate potential predictors of functional communication. Methods The prospective cohort included patients with poststroke aphasia aged 18 years or older who resided in the city of Salvador, Northeastern Brazil. Following discharge from the Stroke Unit (SU), the individuals themselves, or their guardians, were contacted by telephone to schedule a home visit no less than three months after discharge. At baseline, sociodemographic and clinical data were collected, in addition to the scores on the National Institutes of Health Stroke Scale (NIHSS) and modified Barthel Index (mBI). The American Speech-Language-Hearing Association Functional Assessment of Communication Skills for Adults (ASHA FACS) was applied at the patients' homes. Multivariate linear regression was employed using the total score on the ASHA FACS as the outcome of interest. Results A multivariate analysis of the associated factors identified using the linear regression revealed that only functional capacity (as assessed by the mBI) upon discharge from the SU remained as an independent predictor of functional communication performance (β = 0.042; 95% confidence interval [95%CI] = 0.013–0.071; p = 0.002). Conclusion The functional capacity to perform daily activities, evaluated upon discharge from a stroke unit, was identified as a potential predictor of functional communication performance, regardless of the time elapsed after the stroke.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755267strokeaphasiacommunicationcommunity integration |
| spellingShingle | Adriana Fernandes Helena Fraga-Maia Iara Maso Isabela Guimarães Matos Lene Gomes Matheus Matos Andressa Santana Jamary Oliveira-Filho Pedro Antônio de Jesus Elen Beatriz Pinto Predictors of functional communication in people with aphasia after stroke Arquivos de Neuro-Psiquiatria stroke aphasia communication community integration |
| title | Predictors of functional communication in people with aphasia after stroke |
| title_full | Predictors of functional communication in people with aphasia after stroke |
| title_fullStr | Predictors of functional communication in people with aphasia after stroke |
| title_full_unstemmed | Predictors of functional communication in people with aphasia after stroke |
| title_short | Predictors of functional communication in people with aphasia after stroke |
| title_sort | predictors of functional communication in people with aphasia after stroke |
| topic | stroke aphasia communication community integration |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0042-1755267 |
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