Is communication key in stroke rehabilitation and recovery? National linked stroke data study Article Swipe
Sally Zingelman
,
Sarah J. Wallace
,
Joosup Kim
,
Simon Mosalski
,
Steven Faux
,
Dominique A. Cadilhac
,
Tara L Alexander
,
Natasha A. Lannin
,
Muideen T. Olaiya
,
Ross Clifton
,
Christine T. Shiner
,
Susan Starr
,
Monique F. Kilkenny
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1080/10749357.2023.2279804
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1080/10749357.2023.2279804
Background: Information on the characteristics or long-term outcomes of people with communication support needs post-stroke is limited. We investigated associations between communication gains in rehabilitation and long-term outcomes (quality-of-life [EuroQOL-ED-3 L], mortality) by post-stroke communication support need status. Methods: Retrospective cohort study using person-level linked data from the Australian Stroke Clinical Registry and the Australasian Rehabilitation Outcomes Centre (2014–2017). Communication support needs were assessed using the Functional Independence Measure™ comprehension and expression items recorded on admission indicated by scores one (total assistance) to five (standby prompting). Multivariable multilevel and Cox regression models were used to determine associations with long-term outcomes. Results: Of 8,394 patients who received in-patient rehabilitation after stroke (42% female, median age 75.6 years), two-thirds had post-stroke communication support needs. Having aphasia (odds ratio [OR] 4.34, 95% CI 3.67–5.14), being aged ≥65 years (OR 1.21, 95% CI 1.08–1.36), greater stroke severity (unable to walk on admission; OR 1.48, 95% CI 1.32–1.68) and previous stroke (OR 1.25, 95% CI 1.11–1.41) were associated with increased likelihoods of having communication support needs. One-point improvement in FIM™ expression was associated with reduced likelihood of self-reporting problems related to mobility (OR 0.85, 95% CI: 0.80–0.90), self-care (OR 0.79, 95% CI: 0.74–0.86) or usual activities (OR 0.84, 95% CI: 0.75–0.94) at 90–180 days. Patients with communication support needs had greater mortality rates within one-year post-stroke (adjusted hazard ratio 1.99, 95% CI: 1.65–2.39). Conclusions: Two-thirds of patients with stroke require communication support to participate in healthcare activities. Establishing communication-accessible stroke care environments is a priority.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1080/10749357.2023.2279804
- OA Status
- hybrid
- Cited By
- 5
- References
- 28
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4388705382
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4388705382Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1080/10749357.2023.2279804Digital Object Identifier
- Title
-
Is communication key in stroke rehabilitation and recovery? National linked stroke data studyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-11-15Full publication date if available
- Authors
-
Sally Zingelman, Sarah J. Wallace, Joosup Kim, Simon Mosalski, Steven Faux, Dominique A. Cadilhac, Tara L Alexander, Natasha A. Lannin, Muideen T. Olaiya, Ross Clifton, Christine T. Shiner, Susan Starr, Monique F. KilkennyList of authors in order
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https://doi.org/10.1080/10749357.2023.2279804Publisher landing page
- Open access
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://doi.org/10.1080/10749357.2023.2279804Direct OA link when available
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Stroke (engine), Rehabilitation, Physical medicine and rehabilitation, Quality of life (healthcare), Medicine, Key (lock), Physical therapy, Computer science, Nursing, Computer security, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
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5Total citation count in OpenAlex
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2025: 3, 2024: 2Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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