Predictors of Poststroke Aphasia Recovery. A Systematic Review-Informed Individual Participant Data Meta-Analysis

Autor: Jerzy P. Szaflarski, Linda J. Williams, Evy Visch-Brink, Elizabeth Jefferies, Miranda L Rose, Marialuisa Gandolfi, Caitlin Brandenburg, Luis M.T. Jesus, Louise R. Williams, Benjamin Stahl, Flavia Mattioli, Maria Kambanaros, Rebecca Shisler Marshall, Bertrand Glize, Nam-Jong Paik, Myzoon Ali, Rebecca Palmer, Mieke van de Sandt-Koenderman, Ilona Rubi-Fessen, Béatrice Leemann, Tamara B. Cranfill, Anthony Pak Hin Kong, Tatjana Prizl Jakovac, M.B. Ruiter, Federica Lucia Galli, Marian C. Brady, Ann Charlotte Laska, Ilias Papathanasiou, Brian Mac Whinney, Roxele Ribeiro Lima, Linda Worrall, Elizabeth Rochon, Marie di Pietro-Bachmann, Pam Enderby, Tarja Kukkonen, David Howard, Audrey Bowen, Antje Lorenz, Eun Kyoung Kang, Joanne Fillingham, Simon Horton, Reza Nilipour, Katerina Hilari, Jacqueline Hinckley, Masahiro Abo, Matthew A. Lambon Ralph, Cathy J. Price, Caterina Breitenstein, Alexander P. Leff, Eman M. Khedr, Isabel Pavão Martins, Frank Becker, Charlotte Rosso, Enrique Noé, David A. Copland, Heather Harris Wright, Shirley Thomas, Petra Jaecks, İlknur Maviş, Neil Hawkins, Erin Godecke, Marina Laganaro, Claerwen Snell, Kathryn VandenBerg, Marcus Meinzer, Stefanie Bruehl, Brígida Patrício, Ineke van der Meulen
Přispěvatelé: RELEASE Collaboration, Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM), Repositório Científico do Instituto Politécnico do Porto
Rok vydání: 2021
Předmět:
Auditory comprehension
Male
medicine.medical_specialty
Neuropsychological Tests
Medical and Health Sciences
behavioral disciplines and activities
Language and Speech
Learning and Therapy
03 medical and health sciences
0302 clinical medicine
Physical medicine and rehabilitation
Sex Factors
Aphasia
medicine
Humans
030212 general & internal medicine
Stroke
Demography
Aged
Language
Uncategorized
Advanced and Specialized Nursing
business.industry
Individual participant data
Age Factors
Stroke Rehabilitation
Middle Aged
medicine.disease
Language & Communication
Comprehension
Meta-analysis
Functional Communication
Auditory Perception
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie
Female
Neurology (clinical)
Clinical Medicine
medicine.symptom
Survivor
Cardiology and Cardiovascular Medicine
business
030217 neurology & neurosurgery
Zdroj: Stroke
Stroke, American Heart Association, 2021, 52 (5), pp.1778-1787. ⟨10.1161/strokeaha.120.031162⟩
Stroke, 52, 1778-1787
REhabilitation and recovery of peopLE with Aphasia after StrokE (RELEASE) Collaborators 2021, ' Predictors of Poststroke Aphasia Recovery : A Systematic Review-Informed Individual Participant Data Meta-Analysis ', Stroke . https://doi.org/10.1161/STROKEAHA.120.031162
Stroke, 52, 5, pp. 1778-1787
2021, ' Predictors of Poststroke Aphasia Recovery : A Systematic Review-Informed Individual Participant Data Meta-Analysis ', Stroke . https://doi.org/10.1161/STROKEAHA.120.031162
ISSN: 0039-2499
1524-4628
1778-1787
DOI: 10.1161/strokeaha.120.031162
Popis: Background and Purpose: The factors associated with recovery of language domains after stroke remain uncertain. We described recovery of overall-language-ability, auditory comprehension, naming, and functional-communication across participants’ age, sex, and aphasia chronicity in a large, multilingual, international aphasia dataset. Methods: Individual participant data meta-analysis of systematically sourced aphasia datasets described overall-language ability using the Western Aphasia Battery Aphasia-Quotient; auditory comprehension by Aachen Aphasia Test (AAT) Token Test; naming by Boston Naming Test and functional-communication by AAT Spontaneous-Speech Communication subscale. Multivariable analyses regressed absolute score-changes from baseline across language domains onto covariates identified a priori in randomized controlled trials and all study types. Change-from-baseline scores were presented as estimates of means and 95% CIs. Heterogeneity was described using relative variance. Risk of bias was considered at dataset and meta-analysis level. Results: Assessments at baseline (median=43.6 weeks poststroke; interquartile range [4–165.1]) and first-follow-up (median=10 weeks from baseline; interquartile range [3–26]) were available for n=943 on overall-language ability, n=1056 on auditory comprehension, n=791 on naming and n=974 on functional-communication. Younger age ( Conclusions: Earlier intervention for poststroke aphasia was crucial to maximize language recovery across a range of language domains, although recovery continued to be observed to a lesser extent beyond 6 months poststroke.
Databáze: OpenAIRE
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