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May 9, 2018

Europe Stroke Organisation Conference

EARLY INFECTION AND SINGLE WORD REPETITION PREDICT POST-STROKE APHASIA LONG TERM OUTCOME

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Pereira, M.;

Beato-Coelho, J.;

Nogueira, A.R.;

Ribeiro, J.;

Cruz, L.;

Silva, F.;

Sargento-Freitas, J.;

Santana, I.;

Santo, G.C.;

Lopes, J.

aphasia

stroke

Abstract

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Abstract

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Keywords

aphasia

stroke

Abstract

Introduction: Better understanding of clinical predictors of aphasia outcome is of the most utmost importance, in patients’ rehabilitation planning, expectation management and further physiopathology understanding. Aim: To identify clinical predictors of long term post-stroke aphasia outcome. Methods: We conducted a longitudinal observation study of patients with left-MCA stroke with aphasia. Patients were evaluated at baseline, day 7 and 6 months with NIHSS and Aphasia Rapid Test (ART). Other demographic variables and vascular risk factors were collected. A linear regression was performed to identify best predictors of ART at 6 months. Results: We included 113 patients, with 81 reaching the final evaluation. ART score at 6 months was predicted by baseline total NIHSS (β=0.528, 95%CI=[0.257, 0.799]. p<0.001) and simple repetition at baseline (β=1.183, 95%CI=[0.436, 1.930]. p=0.002). Discussion: We report the association of aphasia outcome with the score in a single word repetition task at baseline. Repetition is associated with left arcuate fasciculus, which has been found to predict aphasia outcome. We report the first clinical marker of aphasia prognosis, which may be of great interest in a clinical setting.

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© Copyright 2019 Morressier GmbH.
All rights reserved.