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Title: Comparing acute hospital outcomes for people with post-stroke aphasia who do and do not require an interpreter.
Austin Authors: Mellahn, Kathleen;Kilkenny, Monique;Siyambalapitiya, Samantha;Lakhani, Ali;Purvis, Tara;Reyneke, Megan;Cadilhac, Dominique A;Rose, Miranda L
Affiliation: Centre of Research Excellence in Aphasia Recovery and Rehabilitation, Bundoora, Australia.;School of Allied Health, Human Services and Sport, College of Science, Health and Engineering, La Trobe University, Bundoora, Australia.
The Florey Institute of Neuroscience and Mental Health
School of Health Sciences and Social Work, Griffith University, Gold Coast, Australia.
School of Psychology and Public Health, College of Science, Health and Engineering, La Trobe University, Bundoora, Australia.
Issue Date: 20-Dec-2023
Date: 2023
Publication information: Topics in Stroke Rehabilitation 2023-12-20
Abstract: People with communication differences are known to have poorer hospital outcomes than their peers. However, the combined impact of aphasia and cultural/linguistic differences on care and outcomes after stroke remains unknown. To investigate the association between cultural/linguistic differences, defined as those requiring an interpreter, and the provision of acute evidence-based stroke care and in-hospital outcomes for people with aphasia. Cross-sectional, observational data collected in the Stroke Foundation National Audit of Acute Services (2017, 2019, 2021) were used. Multivariable regression models compared evidence-based care and in-hospital outcomes (e.g., length of stay) by interpreter status. Models were adjusted for sex, hospital location, stroke type and severity, with clustering by hospital. Among 3122 people with aphasia (median age 78, 49% female) from 126 hospitals, 193 (6%) required an interpreter (median age 78, 55% female). Compared to people with aphasia not requiring an interpreter, those requiring an interpreter had similar care access but less often had their mood assessed (OR 0.50, 95% CI 0.32, 0.76), were more likely to have physiotherapy assessments (96% vs 90% p = 0.011) and carer training (OR 4.83, 95% CI 1.70, 13.70), had a 2 day longer median length of stay (8 days vs 6 days, p = 0.003), and were less likely to be independent on discharge (OR 0.54, 95% CI 0.33, 0.89). Some differences exist in the management and outcomes for people with post-stroke aphasia who require an interpreter. Further research to explore their needs and the practical issues underpinning their clinical care pathways is required.
DOI: 10.1080/10749357.2023.2295128
ORCID: 0000-0002-7573-8611
Journal: Topics in Stroke Rehabilitation
Start page: 1
End page: 10
PubMed URL: 38116813
ISSN: 1945-5119
Type: Journal Article
Subjects: Aphasia
cultural diversity
hospital care
Appears in Collections:Journal articles

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