Evidence map›Paper›PMID 41879377›Full record

ArticleAmerican journal of speech-language pathology2026

Revisiting Western Aphasia Battery-Revised in the Context of Mild Impairment.

Harrinee Senthilkumar, Lindsey Kelly, Voss Neal, Isidora Diaz-Carr, Michael Colavito, Argye E Hillis, Melissa D Stockbridge

Abstract read
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Article in American journal of speech-language pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Harrinee SenthilkumarDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.
Lindsey KellyDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.
Voss NealDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.
Isidora Diaz-CarrDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.
Michael ColavitoDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.
Argye E HillisDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.ORCID 0000-0002-5192-1171
Melissa D StockbridgeDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to evaluate the diagnostic accuracy, sensitivity, and specificity of the Western Aphasia Battery-Revised Aphasia Quotient (WAB-R AQ) cutoff of 93.7 of 100 in detecting atypical discourse observed on a picture description task and to identify the optimal AQ value for detection of aphasia.

methodA total of 171 English-speaking adults with a diagnosis of acute ischemic stroke completed both the WAB-R and a description of either the

resultsThe current AQ cutoff score was accurate in detecting aphasic discourse in 75% of cases (sensitivity = 77%; specificity = 64%). Most inaccurate classifications were due to the nearly one in five patients who demonstrated aphasic discourse but were deemed not aphasic by the WAB-R (false negatives). The optimal AQ cutoff was 96.7, calculated by maximizing Cohen's kappa (.38). This cutoff increased classification accuracy from 75% to 83% and reduced false negatives from 19% to 9%.

conclusionIncreasing the WAB-R AQ cutoff to 96.7 is an easily implementable adjustment that improves the detection of aphasia.

Indexed as

AphasiaLanguage TestsNeuropsychological TestsStrokeAdultAgedAged, 80 and overFemaleHumansLongitudinal StudiesMaleMiddle AgedPredictive Value of TestsReproducibility of ResultsROC CurveSensitivity and Specificity

Identifiers

PMID41879377
PMCPMC13151572

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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.