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Researchers link spatial neglect after stroke with poor outcomes

Stroke patients with spatial neglect less likely to return home; more likely to fall and have longer stays

Date:
September 29, 2015
Source:
Kessler Foundation
Summary:
Spatial neglect among inpatients with stroke is common, researchers say. At the conclusion of a recent study, the investigators said that affected patients had a higher risk for falls, longer lengths of stay and lesser likelihood of returning home after discharge.
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Using the Kessler Foundation Neglect Assessment Process (KF-NAP), Kessler researchers found a high rate of spatial neglect among inpatients with stroke. Affected patients had a higher risk for falls, longer lengths of stay and lesser likelihood of returning home after discharge. "Impact of Spatial Neglect on Stroke Rehabilitation: Evidence from the Setting of an Inpatient Rehabilitation Facility" was published in the Archives of Physical Medicine & Rehabilitation. The authors are Peii Chen, PhD, and A.M. Barrett, MD, of Kessler Foundation, and Kimberly Hreha, MS, and Yekyung Kong, MD, of Kessler Institute for Rehabilitation.

Of 108 stroke patients screened at admission with the KF-NAP, 68.4% had spatial neglect. This complication was more common and more severe after right brain stroke. "Higher KF-NAP scores were associated with lower FIM scores and prolonged recovery during rehabilitation," said Peii Chen, PhD, research scientist. "Falls were 6.5 times more likely in the group with spatial neglect and hospital stays were 10 days longer. Moreover, people with spatial neglect were 45% less likely to be discharged home. To lessen this negative impact on outcomes, screening for spatial neglect and specific early intervention are essential."


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Materials provided by Kessler Foundation. Note: Content may be edited for style and length.


Journal Reference:

  1. eii Chen, PhD, A.M. Barrett, MD, Kimberly Hreha, MS, and Yekyung Kong, MD. Impact of Spatial Neglect on Stroke Rehabilitation: Evidence from the Setting of an Inpatient Rehabilitation Facility. Archives of Physical Medicine & Rehabilitation, September 2015 DOI: 10.1016/j.apmr2015.03.019

Cite This Page:

Kessler Foundation. "Researchers link spatial neglect after stroke with poor outcomes: Stroke patients with spatial neglect less likely to return home; more likely to fall and have longer stays." ScienceDaily. ScienceDaily, 29 September 2015. <www.sciencedaily.com/releases/2015/09/150929092755.htm>.
Kessler Foundation. (2015, September 29). Researchers link spatial neglect after stroke with poor outcomes: Stroke patients with spatial neglect less likely to return home; more likely to fall and have longer stays. ScienceDaily. Retrieved May 23, 2017 from www.sciencedaily.com/releases/2015/09/150929092755.htm
Kessler Foundation. "Researchers link spatial neglect after stroke with poor outcomes: Stroke patients with spatial neglect less likely to return home; more likely to fall and have longer stays." ScienceDaily. www.sciencedaily.com/releases/2015/09/150929092755.htm (accessed May 23, 2017).

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