The Impact of Poststroke Aphasia on Quality of Life: A Comparative Cross-Sectional Study
The study aimed to analyze the impact of aphasia on quality of life (QoL) in persons with ischemic stroke per radiological severity, compare equally severe but nonaphasic stroke survivors, and analyze the impact of hyperbaric oxygen therapy (HBOT) exposure Methods: Patients with first-ever middle ce...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2024-08, Vol.16 (8), p.e66988 |
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| creator | Kurup, Anupama Alby, Andrea Saju, Anna M Anil, Anuja Jayan, Anuja Chandrababu, Aparna Nazer, Arfaz Sankaran, Ravi |
| description | The study aimed to analyze the impact of aphasia on quality of life (QoL) in persons with ischemic stroke per radiological severity, compare equally severe but nonaphasic stroke survivors, and analyze the impact of hyperbaric oxygen therapy (HBOT) exposure
Methods: Patients with first-ever middle cerebral artery (MCA) stroke were categorized by radiological severity into high, intermediate, and low Alberta Stroke Program Early CT Score (ASPECTS). The Stroke Aphasia Quality of Life (SAQoL) Scale was used for outcome analysis. Inclusion criteria were age 40-65, 12-16 months after stroke, MCA distribution, first stroke, and ischemic stroke. Exclusion criteria were mixed vessel involvement and concomitant neurological, orthopedic, or psychiatric comorbidities.
Among 93 patients with ischemic stroke, 87% presented with intermediate-to-low ASPECTS. According to the SAQoL, locomotion and transfers were the most compromised. QoL was significantly negatively correlated with higher ASPECTS and greater stroke impact in those with aphasia overall (p = 0.001). Those who received HBOT overall were significantly better than those who did not, regardless of group (p = 0.02 and 0.03).
The present study shows that the radiological severity of stroke relates to QoL in those with poststroke aphasia. Among those with equal radiological severity, those with aphasia are worse off. Those who receive HBOT have better QoL. |
| doi_str_mv | 10.7759/cureus.66988 |
| format | Article |
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Methods: Patients with first-ever middle cerebral artery (MCA) stroke were categorized by radiological severity into high, intermediate, and low Alberta Stroke Program Early CT Score (ASPECTS). The Stroke Aphasia Quality of Life (SAQoL) Scale was used for outcome analysis. Inclusion criteria were age 40-65, 12-16 months after stroke, MCA distribution, first stroke, and ischemic stroke. Exclusion criteria were mixed vessel involvement and concomitant neurological, orthopedic, or psychiatric comorbidities.
Among 93 patients with ischemic stroke, 87% presented with intermediate-to-low ASPECTS. According to the SAQoL, locomotion and transfers were the most compromised. QoL was significantly negatively correlated with higher ASPECTS and greater stroke impact in those with aphasia overall (p = 0.001). Those who received HBOT overall were significantly better than those who did not, regardless of group (p = 0.02 and 0.03).
The present study shows that the radiological severity of stroke relates to QoL in those with poststroke aphasia. Among those with equal radiological severity, those with aphasia are worse off. Those who receive HBOT have better QoL.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.66988</identifier><identifier>PMID: 39280459</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Aphasia ; Communication ; Cross-sectional studies ; Language disorders ; Neurology ; Oxygen therapy ; Patients ; Physical Medicine & Rehabilitation ; Quality of life ; Rehabilitation ; Software ; Standard deviation ; Stroke ; Veins & arteries</subject><ispartof>Curēus (Palo Alto, CA), 2024-08, Vol.16 (8), p.e66988</ispartof><rights>Copyright © 2024, Kurup et al.</rights><rights>Copyright © 2024, Kurup et al. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2024, Kurup et al. 2024 Kurup et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c300t-8b46c84c0515ebe917a2a80aca8af4148294668f14c06becfba79285a33db8d43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11402482/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11402482/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39280459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kurup, Anupama</creatorcontrib><creatorcontrib>Alby, Andrea</creatorcontrib><creatorcontrib>Saju, Anna M</creatorcontrib><creatorcontrib>Anil, Anuja</creatorcontrib><creatorcontrib>Jayan, Anuja</creatorcontrib><creatorcontrib>Chandrababu, Aparna</creatorcontrib><creatorcontrib>Nazer, Arfaz</creatorcontrib><creatorcontrib>Sankaran, Ravi</creatorcontrib><title>The Impact of Poststroke Aphasia on Quality of Life: A Comparative Cross-Sectional Study</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>The study aimed to analyze the impact of aphasia on quality of life (QoL) in persons with ischemic stroke per radiological severity, compare equally severe but nonaphasic stroke survivors, and analyze the impact of hyperbaric oxygen therapy (HBOT) exposure
Methods: Patients with first-ever middle cerebral artery (MCA) stroke were categorized by radiological severity into high, intermediate, and low Alberta Stroke Program Early CT Score (ASPECTS). The Stroke Aphasia Quality of Life (SAQoL) Scale was used for outcome analysis. Inclusion criteria were age 40-65, 12-16 months after stroke, MCA distribution, first stroke, and ischemic stroke. Exclusion criteria were mixed vessel involvement and concomitant neurological, orthopedic, or psychiatric comorbidities.
Among 93 patients with ischemic stroke, 87% presented with intermediate-to-low ASPECTS. According to the SAQoL, locomotion and transfers were the most compromised. QoL was significantly negatively correlated with higher ASPECTS and greater stroke impact in those with aphasia overall (p = 0.001). Those who received HBOT overall were significantly better than those who did not, regardless of group (p = 0.02 and 0.03).
The present study shows that the radiological severity of stroke relates to QoL in those with poststroke aphasia. Among those with equal radiological severity, those with aphasia are worse off. Those who receive HBOT have better QoL.</description><subject>Aphasia</subject><subject>Communication</subject><subject>Cross-sectional studies</subject><subject>Language disorders</subject><subject>Neurology</subject><subject>Oxygen therapy</subject><subject>Patients</subject><subject>Physical Medicine & Rehabilitation</subject><subject>Quality of life</subject><subject>Rehabilitation</subject><subject>Software</subject><subject>Standard deviation</subject><subject>Stroke</subject><subject>Veins & arteries</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNpd0c1r2zAYBnAxNtbS5bZzEfTSw5zqy7bcSwmh2wqBrSSF3cRrRW7UOlYmyYH895WXNLQ7SaCfHvTqQegrJeOyzKsr3XvTh3FRVFJ-QKeMFjKTVIqPb_YnaBTCEyGEkpKRknxGJ7xikoi8OkV_FiuD79Yb0BG7Bv92IYbo3bPBk80KggXsOnzfQ2vjbgAz25hrPMFTl-54iHZr8NS7ELK50dG6Dlo8j_1y9wV9aqANZnRYz9DD99vF9Gc2-_XjbjqZZZoTEjNZi0JLoUlOc1ObipbAQBLQIKERVEhWiaKQDU2kqI1uaijT43PgfFnLpeBn6Gafu-nrtVlq00UPrdp4uwa_Uw6sen_S2ZV6dFtFqSAs5aeEy0OCd397E6Ja26BN20JnXB8Up6QgXCaf6MV_9Mn1Ps08qAQYY3xQ3_ZKDx_jTXN8DSVqqE3ta1P_akv8_O0ER_xaEn8BI0KUJQ</recordid><startdate>20240816</startdate><enddate>20240816</enddate><creator>Kurup, Anupama</creator><creator>Alby, Andrea</creator><creator>Saju, Anna M</creator><creator>Anil, Anuja</creator><creator>Jayan, Anuja</creator><creator>Chandrababu, Aparna</creator><creator>Nazer, Arfaz</creator><creator>Sankaran, Ravi</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20240816</creationdate><title>The Impact of Poststroke Aphasia on Quality of Life: A Comparative Cross-Sectional Study</title><author>Kurup, Anupama ; Alby, Andrea ; Saju, Anna M ; Anil, Anuja ; Jayan, Anuja ; Chandrababu, Aparna ; Nazer, Arfaz ; Sankaran, Ravi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c300t-8b46c84c0515ebe917a2a80aca8af4148294668f14c06becfba79285a33db8d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aphasia</topic><topic>Communication</topic><topic>Cross-sectional studies</topic><topic>Language disorders</topic><topic>Neurology</topic><topic>Oxygen therapy</topic><topic>Patients</topic><topic>Physical Medicine & Rehabilitation</topic><topic>Quality of life</topic><topic>Rehabilitation</topic><topic>Software</topic><topic>Standard deviation</topic><topic>Stroke</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kurup, Anupama</creatorcontrib><creatorcontrib>Alby, Andrea</creatorcontrib><creatorcontrib>Saju, Anna M</creatorcontrib><creatorcontrib>Anil, Anuja</creatorcontrib><creatorcontrib>Jayan, Anuja</creatorcontrib><creatorcontrib>Chandrababu, Aparna</creatorcontrib><creatorcontrib>Nazer, Arfaz</creatorcontrib><creatorcontrib>Sankaran, Ravi</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kurup, Anupama</au><au>Alby, Andrea</au><au>Saju, Anna M</au><au>Anil, Anuja</au><au>Jayan, Anuja</au><au>Chandrababu, Aparna</au><au>Nazer, Arfaz</au><au>Sankaran, Ravi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact of Poststroke Aphasia on Quality of Life: A Comparative Cross-Sectional Study</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2024-08-16</date><risdate>2024</risdate><volume>16</volume><issue>8</issue><spage>e66988</spage><pages>e66988-</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>The study aimed to analyze the impact of aphasia on quality of life (QoL) in persons with ischemic stroke per radiological severity, compare equally severe but nonaphasic stroke survivors, and analyze the impact of hyperbaric oxygen therapy (HBOT) exposure
Methods: Patients with first-ever middle cerebral artery (MCA) stroke were categorized by radiological severity into high, intermediate, and low Alberta Stroke Program Early CT Score (ASPECTS). The Stroke Aphasia Quality of Life (SAQoL) Scale was used for outcome analysis. Inclusion criteria were age 40-65, 12-16 months after stroke, MCA distribution, first stroke, and ischemic stroke. Exclusion criteria were mixed vessel involvement and concomitant neurological, orthopedic, or psychiatric comorbidities.
Among 93 patients with ischemic stroke, 87% presented with intermediate-to-low ASPECTS. According to the SAQoL, locomotion and transfers were the most compromised. QoL was significantly negatively correlated with higher ASPECTS and greater stroke impact in those with aphasia overall (p = 0.001). Those who received HBOT overall were significantly better than those who did not, regardless of group (p = 0.02 and 0.03).
The present study shows that the radiological severity of stroke relates to QoL in those with poststroke aphasia. Among those with equal radiological severity, those with aphasia are worse off. Those who receive HBOT have better QoL.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>39280459</pmid><doi>10.7759/cureus.66988</doi><oa>free_for_read</oa></addata></record> |
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| source | PubMed Central; PubMed Central Open Access |
| subjects | Aphasia Communication Cross-sectional studies Language disorders Neurology Oxygen therapy Patients Physical Medicine & Rehabilitation Quality of life Rehabilitation Software Standard deviation Stroke Veins & arteries |
| title | The Impact of Poststroke Aphasia on Quality of Life: A Comparative Cross-Sectional Study |
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