The Incidence of Aphasia, Cognitive Deficits, Apraxia, Dysarthria, and Dysphagia in Acute Post Stroke Persian Speaking Adults

Ghoreyshi, Zahra Sadat; Nilipour, Reza; Bayat, Narges; Nejad, Samaneh Sazegar; Mehrpour, Masoud; Azimi, Tabassom

doi:10.1007/s12070-021-03006-9

Cited by 8 publications

(4 citation statements)

References 62 publications

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“…The detailed study characteristics are shown in Table 1 and Supplementary Table 3 . Overall, all included studies were hospital-based studies with publication years ranging from 1998 to 2021, study sample sizes ranging from 29 to 12,276, and a total study population of 25,022 across 17 countries, including Canada, the USA, the UK, Belgium, Spain, Nigeria, Brazil, Sweden, Germany, Italy, Iraq, Egypt, Switzerland, Iran, Korea, Malaysia, and Australia, and 6 continents, of which 7 studies ( 16 , 19 , 23 , 29 , 31 , 33 , 37 ) were conducted in Asia, 14 ( 17 , 22 , 24 , 27 , 28 , 32 , 38–43 , 45 , 48 ) in Europe, 6 ( 15 , 20 , 25 , 30 , 36 , 44 ) in North America, 4 ( 34 , 35 , 46 , 47 ) in South America, 2 ( 18 , 26 ) in Africa, and 1 in Oceania ( 25 ). All studies reported the prevalence of PSD; 22 studies ( 15 , 18–20 , 22 , 24–26 , 28 , 36 , 38–48 ) documented risk factors of PSD, and 23 studies ( 21 , 23 , 24 , 26 , 30–37 , 39–52 ) documented the complications of PSD or mortality of PSD patients.…”

Section: Resultsmentioning

confidence: 99%

“…In 11 studies, dysphagia was assessed within 7 days after stroke onset ( 15 , 19 , 27 , 28 , 31 , 33 , 34 , 37 , 38 , 43 , 44 ); the prevalence was 53.8% (95% CI, 0.399–0.676), with high heterogeneity ( I 2 = 99.22%; p < 0.001). In four studies, swallowing disorders were assessed within 7 days after stroke onset ( 16 , 21 , 25 , 36 ). The prevalence was 48% (95% CI, 0.374–0.587), with high heterogeneity ( I 2 = 86.24%; p < 0.001).…”

Section: Resultsmentioning

confidence: 99%

“…Two studies ( 22 , 30 ) conducted in Africa reported a PSD prevalence of 49.4% (95% CI, 0.196–0.792), with high heterogeneity ( I 2 = 95.7%; p < 0.001). Seven studies ( 16 , 19 , 23 , 29 , 31 , 33 , 37 ) in Asia reported a PSD prevalence of 40.1% (95% CI, 0.348–0.454), with high heterogeneity ( I 2 = 79.64%; p < 0.001). Fourteen studies in Europe ( 17 , 22 , 24 , 27 , 28 , 32 , 38–43 , 45 , 48 ) reported a PSD prevalence of 45.8% (95% CI, 0.327–0.590), with high heterogeneity ( I 2 = 99.42%; p < 0.001).…”

Section: Resultsmentioning

confidence: 99%

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Prevalence, risk factors, and outcomes of dysphagia after stroke: a systematic review and meta-analysis

Song,

Wu,

Wang

et al. 2024

Front. Neurol.

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BackgroundDysphagia is a common complication after stroke, which not only brings adverse outcomes but also greatly affects the quality of life of patients. At present, there is no systematic review or meta-analysis to comprehensively evaluate the epidemiological characteristics of post-stroke dysphagia (PSD). A systematic review of the prevalence, risk factors, and prognosis of PSD is essential.MethodsThrough 31 December 2022, a comprehensive literature search was performed for observational studies related to PSD. Five databases were retrieved. Random-effects models were used to estimate the pooled prevalence, odds ratio (OR), and 95% CIs.ResultsA total of 34 studies were included, and the results showed that the overall prevalence of PSD was 46.6% (95% CI, 0.405–0.528). The prevalence of dysphagia in ischemic stroke and hemorrhagic stroke was 43.6% (95% CI 0.370–0.501) and 58.8% (95% CI 0.519–0.654), respectively. The prevalence of PSD in Africa was 49.4% (95% CI, 0.196–0.792), in Asia was 40.1% (95% CI, 0.348–0.454), in Europe was 45.8% (95% CI, 0.327–0.590), in North America was 44.3% (95% CI, 0.370–0.517), in South America was 57.5% (95% CI, 0.441–0.708), and in Oceania was 64.1% (95%CI, 0.558, 0.724). In risk factor analysis, hypertension, previous stroke, and atrial fibrillation were significantly associated with the occurrence of PSD, pooled OR = 1.179 [(95% CI, 1.002–1.386), p < 0.05], pooled OR = 1.514 [(95% CI, 1.204–1.905), p < 0.001], and pooled OR = 1.980 [(95% CI, 1.580–2.481), p < 0.001]. In outcome studies, the prevalence of aphasia and dysarthria in PSD was 35.6% (95% CI, 0.213–0.499) and 54.5% (95% CI, 0.293–0.798), respectively. The prevalence of respiratory tract infection was 27.1% (95%CI, −0.038–0.579), and the prevalence of pneumonitis was 32.1% (95% CI, 0.224–0.418). Persistence of dysphagia at discharge and at 1 month was 74.5% (95% CI, 0.621–0.869) and 50.9% (95% CI, 0.142–0.876), respectively. Mortality rates for PSD patients during admission and discharge at 1 month, 3 months, and 1 year were 11.8% (95% CI, 0.083–0.152), 26.5% (95% CI, 0.170–0.359), 25.7% (95% CI, 0.19–0.324), and 31.3% (95% CI, 0.256–0.369), respectively.ConclusionThis study found that the overall prevalence of PSD was 46.6%. Prevalence is most influenced by the diagnosis method. Hypertension, history of stroke, atrial fibrillation, patient age, and stroke severity were risk factors significantly associated with PSD. The prevalence of aphasia, dysarthria, respiratory tract infection, and pneumonitis in PSD patients is 2–4 times that of patients without PSD.Systematic review registration: www.crd.york.ac.uk/PROSPERO, PROSPERO, CRD42021252967.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence, risk factors, and outcomes of dysphagia after stroke: a systematic review and meta-analysis

Song,

Wu,

Wang

et al. 2024

Front. Neurol.

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“…Aphasia is a language disorder that impairs speech, understanding, reading, and writing as a result of damage to the brain areas responsible for language processing, usually located in the left hemisphere [1,2]. This condition can affect all aspects of language processing and may be accompanied by other neurological symptoms such as dysarthria, apraxia, hemiparesis, hemianopsia, or dysphagia, particularly in stroke patients [3,4].…”

Section: Introductionmentioning

confidence: 99%

Challenges in Assessing Aphasia in Congenital Blind Patients: A Case Report

Nicoletta,

Riganello,

Lucca

et al. 2023

Reports

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This case report focuses on assessing aphasia in a congenitally blind patient with an ischemic lesion using the Aachener Aphasia Test. The method involved adapting existing assessment tools to the patient, integrating Braille as an accessible technology, and incorporating the patient’s family for emotional support and for the identification of patient-specific communication strategies. The assessment revealed patient strengths in areas such as articulation, prosody, and repetition skills, but also exposed challenges in semantic and syntactic structures. However, the unavailability to assess and score naming and comprehension limited a full assessment of the patient’s language abilities. The findings underscore the need for flexible, tailored assessment strategies and collaborative approaches involving healthcare professionals and families. Moreover, it suggests a considerable research gap and a need for standard tools to assess blind patients with aphasia comprehensively. This case report contributes to the limited knowledge of assessing aphasia in blind individuals and calls for further research in this area to refine and expand the available tools and strategies.

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The acceptance and attitudes towards using assistive technology for people with stroke in Jordan: caregivers’ perspectives

Bsharat¹,

Al-Duhoun

Ghanouni

2023

Assistive Technology

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The Incidence of Aphasia, Cognitive Deficits, Apraxia, Dysarthria, and Dysphagia in Acute Post Stroke Persian Speaking Adults

Cited by 8 publications

References 62 publications

Prevalence, risk factors, and outcomes of dysphagia after stroke: a systematic review and meta-analysis

Prevalence, risk factors, and outcomes of dysphagia after stroke: a systematic review and meta-analysis

Challenges in Assessing Aphasia in Congenital Blind Patients: A Case Report

The acceptance and attitudes towards using assistive technology for people with stroke in Jordan: caregivers’ perspectives

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