好色先生

好色先生

Explore the latest content from across our publications
Join The AAN

Log In

Forgot Password?
Create New Account

Loading... please wait

Abstract Details

The association between abnormal communication and neuropsychiatric outcomes after hemorrhagic stroke
Cerebrovascular Disease and Interventional Neurology
P11 - Poster Session 11 (11:45 AM-12:45 PM)
5-022
The objective of this study was to identify neuropsychiatric outcomes associated with abnormal communication 3 months after hemorrhagic stroke.
Hemorrhagic stroke survivors can have neuropsychiatric dysfunction including deficits in communication ability. Understanding the relationship between abnormal communication and other neuropsychiatric outcomes can guide surveillance and interventions.

Patients with non-traumatic intracerebral or subarachnoid hemorrhage (ICH or SAH) admitted at an urban academic medical center between January 2015 and December 2024 were assessed by telephone 3 months post-discharge using the Quality of Life in Neurological Disorders (Neuro-QoL) short form inventories to assess communication, cognitive impairment, anxiety, depression, social participation and the Barthel Index. Univariate and multivariate analysis were used to evaluate the relationship between abnormal communication (Neuro-QoL t-score <100) and neuropsychiatric outcome in patients with 1) ICH or SAH and 2) ICH only.
Of 108 patients (68 ICH and 30 SAH), there were 59 (54.6%) with abnormal communication, 52 (49.1%) with cognitive impairment, 46 (44.2%) with anxiety, 30 (28.8%) with depression, and 62 (59.6%) with abnormal social participation 3-months post-bleed and the median Barthel Index was 100 (IQR 80-100). On univariate analysis of the full cohort, poor communication was associated with (p<0.05): cognitive impairment, anxiety, depression, abnormal social participation, and Barthel Index. On multivariate analysis, poor communication was only associated with cognitive impairment [OR 25.2 (7.02 – 113), p<0.001]. On univariate analysis of the ICH cohort, poor communication was associated with: cognitive impairment, anxiety, abnormal social participation, and Barthel Index. On multivariate analysis, poor communication was only associated with cognitive impairment [OR 9.63 (2.32 – 47.3), p=0.003].
Abnormal communication after hemorrhagic stroke is associated with cognitive impairment, even after controlling for other neuropsychiatric outcomes. Speech and language therapy is advisable in patients with cognitive impairment after hemorrhagic stroke. Additional investigation into the relationship between communication and cognitive impairment is needed.
Authors/Disclosures
Nikhil V. Avadhani, BA
PRESENTER 		Mr. Avadhani has nothing to disclose.
Kara R. Melmed, MD (NYU Langone Neurology Associates) Dr. Melmed has nothing to disclose.
Benjamin Brush, MD (NYU Langone Neurology) Dr. Brush has nothing to disclose.
Aaron Lord, MD (NYU Langone-Brooklyn) Dr. Lord has nothing to disclose.
Kaitlin Hanley, SLP Ms. Hanley has nothing to disclose.
Jennifer A. Frontera, MD (NYU Langone Health) Dr. Frontera has received personal compensation in the range of $500-$4,999 for serving as a Consultant for FirstKindMedical. Dr. Frontera has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Physician 好色先生 Resource. The institution of Dr. Frontera has received research support from NIH. The institution of Dr. Frontera has received research support from Alexion. Dr. Frontera has received publishing royalties from a publication relating to health care.
Koto Ishida, MD, FAAN (NYU) Dr. Ishida has received publishing royalties from a publication relating to health care.
Jose L. Torres, MD (NYU) Dr. Torres has nothing to disclose.
Leah P. Dickstein, MD (Johns Hopkins Hospital) Dr. Dickstein has nothing to disclose.
David E. Kahn, MD (NYU School of Medicine) An immediate family member of Dr. Kahn has received personal compensation for serving as an employee of Essai.
Ting Zhou, MD (New York University Langone Health - Brooklyn) Dr. Zhou has nothing to disclose.
Ariane Lewis, MD, FAAN (NYU Langone Medical Center) Dr. Lewis has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Seminars in Neurology. Dr. Lewis has received personal compensation in the range of $10,000-$49,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Journal of Clinical Neuroscience.