Longitudinal trends in aphasia in the United States
ABSTRACT Few studies have used national data to characterize the occurrence of aphasia in the U.S. The purpose of this project was to use national hospital discharge data to examine the number and characteristics of patients discharged from U.S. hospitals with a diagnosis of aphasia.
We examined data from the National Inpatient Sample (NIS) (1997-2006) using ICD-9 codes for aphasia to identify the number and demographic characteristics of patients with aphasia.
Between 1997 and 2006 the number of individuals with aphasia was approximately 100,000 per year. During the 10-year period, the majority of individuals with aphasia were 65 years of age and older, female, had Medicare as a primary payer source and resided in the South.
The occurrence of aphasia and demographic characteristics of individuals with aphasia has been generally consistent in the U.S. from 1997 to 2006. Future studies are needed to quantify direct and indirect costs of treating individuals with aphasia as well as other factors that determine the true impact of aphasia and other neurologically based disorders of communication.
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ABSTRACT: This article describes how the use of a popular media character who survived a stroke (Grandpa Jim of the For Better or For Worse comic strip) was incorporated into classroom instruction on aphasia. Episodes about the character were reviewed and response questions were developed for 29 graduate students enrolled in an adult language disorders course. The assessment of Grandpa Jim’s poststroke speech and language skills, his internal thoughts, his communication and emotional interactions with various family members and health professionals, and the behavioral and emotional reactions of family members were addressed in questions. Student reactions to this instructional format are presented.Perspectives on Issues in Higher Education 09/2011; 14(2):46-56. DOI:10.1044/ihe14.2.46
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ABSTRACT: Little is known about the contribution of aphasia to the cost of care for patients who experience stroke. We retrospectively examined a cohort of South Carolina Medicare beneficiaries who experienced ischemic stroke in 2004 to determine the attributable cost of aphasia. Univariate analyses were used to compare demographic, comorbidity, and severity differences between individuals with poststroke aphasia and those without aphasia. Differences in payments by Medicare because of stroke were examined using a gamma-distributed generalized linear multivariate model. Three thousand, two hundred Medicare beneficiaries experienced ischemic stroke in South Carolina in 2004, and 398 beneficiaries had poststroke aphasia. Patients with aphasia experienced longer length of stays, greater morbidity, and greater mortality than did those without aphasia. In adjusted models that controlled for relevant covariates, the attributable 1-year cost of aphasia was estimated at $1703. Aphasia adds to the cost of stroke-related care, above the cost of stroke alone.Stroke 02/2012; 43(5):1429-31. DOI:10.1161/STROKEAHA.111.647339 · 5.72 Impact Factor
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ABSTRACT: Abstract Objective: Unilateral nostril breathing (UNB) is a yogic pranayama technique that has been shown to improve verbal and spatial cognition in neurologically intact individuals. Early study of UNB in healthy individuals has shown benefits for attention and memory. This preliminary study explored whether UNB influenced various measures of attention, language, spatial abilities, depression, and anxiety in post-stroke individuals, both with and without aphasia. Design: A within-subjects repeated-measures design was used to determine whether UNB improved cognitive, linguistic, and affect variables in post-stroke individuals. Within-subjects comparisons determined UNB's effects over time, and between-subjects comparison was used to determine whether changes in these variables differed between post-stroke individuals with and without aphasia. Setting: Athens and Atlanta, Georgia. Participants: Eleven post-stroke individuals participated in a 10-week UNB program. Five individuals had stroke-induced left hemisphere damage with no diagnosis of aphasia (left hemisphere damage control group; LHD), and six individuals experienced left hemisphere damage with a diagnosis of aphasia (individuals with aphasia group; IWA). Measures: Individuals were assessed on measures of attention, language, spatial abilities, depression, and anxiety before, during, and after UNB treatment. Results: UNB significantly decreased levels of anxiety for individuals in both groups. Performance on language measures increased for the individuals with aphasia. Conclusions: Significant findings for language and affect measures indicate that further investigation regarding duration of UNB treatment and use of UNB treatment alongside traditional speech-language therapy in post-stroke individuals is warranted.Journal of alternative and complementary medicine (New York, N.Y.) 10/2013; 20(3). DOI:10.1089/acm.2013.0019 · 1.59 Impact Factor