Rehabilitation length of stay in patients suffering from aphasia after stroke.
OBJECTIVE
Few studies have assessed the relationship between aphasia and rehabilitation length of stay (LOS). The aim of the current prospective study was to evaluate LOS in patients with aphasia and its relation to functional improvement.


METHODS
The study was performed in 252 patients admitted for rehabilitation follow-up of their first stroke (126 patients with aphasia and hemiparesis [aphasia group] and 126 patients with hemiparesis but without aphasia [control group]). All patients were submitted to clinical, neurological, and neuropsychological examinations. The following tests were performed: Aachen Aphasia Test, Albert's test, anosognosia scale, Cumulative Illness Rating Scale (CIRS), Fugl-Meyer Scale, and FIM.


RESULTS
LOS was 50.7 and 46.7 days in the aphasia and control groups, respectively. There was no statistically significant difference in the LOS between aphasia and control groups (p = .056). A longer LOS was correlated with low admission aphasia score (r = -0.19). The increase in motor FIM per day obtained by therapy (LOS-Eff) was 0.54 +/- 0.3 in the aphasia group and 0.75 +/- 0.5 in the control group. The LOS-Eff was significantly poorer in the aphasia group (p = .000). A high LOS-Eff was correlated with high aphasia score (r = 0.31). In multivariate regression analyses, aphasia was an important predictor of LOS-Eff (beta = 0.18).


CONCLUSIONS
In patients with aphasia, LOS is few days longer and LOS-Eff is significantly poorer compared to patients without aphasia. Aphasia is a significant independent predictor of LOS-Eff at discharge.
Unità Operativa di Recupero e Rieducazione Funzionale Fondazione Salvatore Maugeri Clinica del Lavoro e della Riabilitazione, IRCCS, Istituto Scientifico di Lumezzane, Brescia, Italy.
Bernardo
B
Gialanella
Paola
P
Prometti
D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001037:Aphasia / Q000150:complications / Q000209:etiology / Q000534:rehabilitation; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D020127:Recovery of Function; D012047:Rehabilitation Centers; D012189:Retrospective Studies; D013315:Stress, Psychological / Q000209:etiology / Q000534:rehabilitation*; D020521:Stroke / Q000150:complications