his.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Neglect and aphasia in the acute phase as predictors of functional outcome 7 years after ischemic stroke
University of Skövde, School of Bioscience. University of Skövde, The Systems Biology Research Centre. Department of Psychology, Faculty of Social Sciences, University of Gothenburg, Gothenburg, Sweden / Institute of Neuroscience and Physiology,The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden / The Skaraborg Institute for Research and Development, Skövde, Sweden. (Kognitiv neurovetenskap och filosofi, Consciousness and Cognitive Neuroscience)
Department of Psychology, Faculty of Social Sciences, University of Gothenburg, Gothenburg, Sweden / Institute of Neuroscience and Physiology,The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Department of Psychology, Faculty of Social Sciences, University of Gothenburg, Gothenburg, Sweden / Institute of Neuroscience and Physiology,The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Institute of Neuroscience and Physiology,The Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.
Show others and affiliations
2017 (English)In: European Journal of Neurology, ISSN 1351-5101, E-ISSN 1468-1331, Vol. 24, no 11, p. 1407-1415Article in journal (Refereed) Published
Abstract [en]

Background and purpose: Visuospatial inattention (VSI) and languageimpairment (LI) are often present early after stroke and associations with an unfavorable short-term functional outcome have been reported. The purpose of this study was to investigate whether a screening of VSI and LI as indicators of cortical symptoms early after stroke could predict long-term functional outcomes. Methods: A consecutive cohort of 375 patients with ischemic stroke was assessed for the occurrence of VSI at a median of 7 days after admission (interquartile range, 1–5 days) using the Star Cancellation Test and for LI (within the first 7 days) with the language item in the Scandinavian StrokeScale. Seven years later, functional outcomes were assessed by the modified Rankin scale and Frenchay Activities Index in 235 survivors without recurrent stroke. Relationships between baseline predictors and functional outcome at 7 years were analyzed with bivariate correlations and multiple categorical regressions with optimal scaling. Results: The regression model significantly explained variance in the modified Rankin scale (R2= 0.435, P < 0.001) and identified VSI (P=0.001) and neurological deficits (P < 0.001; Scandinavian Stroke Scale score without the language item) as the significant independent predictors. The model for FrenchayActivities Index was also significant (R2= 0.269, P < 0.001) with VSI(P = 0.035) and neurological deficits (P < 0.001) as significant independent predictors. Conclusions: Visuospatial inattention at acute stroke has an independent impact on long-term functional outcomes. Early recognition may enable targeted rehabilitative interventions.

Place, publisher, year, edition, pages
Wiley-Blackwell Publishing Inc., 2017. Vol. 24, no 11, p. 1407-1415
Keywords [en]
Neglect, aphasia, stroke
National Category
Neurosciences
Research subject
Consciousness and Cognitive Neuroscience
Identifiers
URN: urn:nbn:se:his:diva-14110DOI: 10.1111/ene.13406ISI: 000412673700017PubMedID: 28803458Scopus ID: 2-s2.0-85029357397OAI: oai:DiVA.org:his-14110DiVA, id: diva2:1141032
Available from: 2017-09-13 Created: 2017-09-13 Last updated: 2018-01-13Bibliographically approved

Open Access in DiVA

fulltext(251 kB)26 downloads
File information
File name FULLTEXT01.pdfFile size 251 kBChecksum SHA-512
4c20a92ed9669ef6299a8a3a8332e3e56853b34020bee6ad053ddffa1e5c8a3cb91ecc3aae11bb91d8b2d45ce2afce179a3a16cd5f30cb10ced5ffd6671cf515
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records BETA

Gerafi, JoelKallio, Sakari

Search in DiVA

By author/editor
Gerafi, JoelKallio, Sakari
By organisation
School of BioscienceThe Systems Biology Research Centre
In the same journal
European Journal of Neurology
Neurosciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 26 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 108 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf