Evidence map›Paper›PMID 23237764›Full record

ArticleArchives of physical medicine and rehabilitation2013

Role of aphasia in discharge location after stroke.

Marlís González-Fernández, Asare B Christian, Cameron Davis, Argye E Hillis

Abstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Progression of Aphasia Severity in the Chronic Stages of Stroke.American journal of speech-language pathology · 2019
    Article
  6. Aphasia As a Predictor of Stroke Outcome.Current neurology and neuroscience reports · 2017
    Review
  7. Review
  8. Article
  9. Article
  10. Update in Aphasia Research.Current neurology and neuroscience reports · 2015
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marlís González-FernándezDepartment of Physical Medicine and Rehabilitation, School of Medicine, Johns Hopkins University, Baltimore, MD, USA. mgonzal5@jhmi.edu
Asare B Christian
Cameron Davis
Argye E Hillis

Funding

Neural Basis of Lexical Deficits in Hyperacute StrokeR01DC005375 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI Argye E. Hillis · 2002 to 2026
$11.8M
NEUROBIOLOGY OF LANGUAGE PERCEPTION--FMRI INVESTIGATIONSR01DC003681 · NIDCD · UNIVERSITY OF CALIFORNIA-IRVINE · PI HICKOK, GREGORY · 1999 to 2015
$6.9M
NIDCD NIH HHS R01 DC003681NIDCD NIH HHS R01 DC005375
6 · The paper itself

Abstract

objectiveTo evaluate language deficits after acute stroke and their association with post-acute care at a setting other than home. We hypothesized that deficits in language comprehension would be associated with discharge to a setting other than home after adjustment for physical/occupational therapy (PT/OT) needs.

designSecondary analysis of prospectively collected data. Discharge location, demographic characteristics (age, sex, race), and the presence of PT/OT recommendations were abstracted from the medical record.

settingAcute stroke unit at a tertiary medical center.

participantsLeft hemispheric stroke patients (N=152) within 24 hours of event.

interventionsThe following tasks were administered: (a-b) oral and written naming of pictured objects, (c) oral naming with tactile input (tactile naming), (d-f) oral reading, oral spelling, and repetition of words and pseudowords, (g) written spelling to dictation, (h) spoken word-picture verification (ie, auditory comprehension), and (i) written word-picture verification (ie, written word comprehension).

main outcome measureDischarge to a setting other than home.

resultsOf 152 cases, 88 were discharged home and 64 to another setting. Among stroke subjects discharged to a setting other than home, 63.6% had auditory comprehension deficits compared with 42.9% of those discharged home (P=.03). Deficits in auditory and reading comprehension and oral spelling to dictation were significantly associated with increased odds of discharge to a setting other than home after adjustment for age and PT/OT recommendations.

conclusionsCases with deficits in auditory comprehension, reading comprehension, and oral spelling to dictation had increased odds of being discharged to settings other than home. Early evaluation of these language deficits and prompt treatment may allow patients who would otherwise be discharged to an institution to go home. Further research is needed to design and evaluate individualized treatment protocols and their effect on discharge recommendations.

Indexed as

ComprehensionAphasiaAuditory Perceptual DisordersFemaleHumansLogistic ModelsMaleOccupational TherapyPatient DischargePhysical Therapy ModalitiesReadingStrokeStroke Rehabilitation

Identifiers

PMID23237764
PMCPMC3678960

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.