The Prevalence of Acquired Neurologic Speech and Language Disorder among Adult Neurologic Patients in Tikur Anbesa Specialized Hospital, a Retrospective Study

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Date

2024-06

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Addis Ababa University

Abstract

Acquired neurological speech and language disorders such as aphasia, arthritis, ataxia and cognitive communication impairments can be caused by neurological conditions that interfere with communication. This study was aimed to assess the prevalence of acquired neurological speech and language disorders and associated factors among neurological patients at Tikur Anbesa Specialized Hospital that received care from January 2023 to December 2023. Retrospective study design on secondary data is used to randomly select records of 384 study participants. Clinical judgment of neurology residents or neurologist is used to as measuring tool for screening ANSLD. Of study participants, 52.9% were females and 47.1% were male. 53.4% were young adults (<50yrs) while 46.6% were old adult (>50 yrs). Among the neurological conditions stroke was the leading (33.6%) while Huntington’s disease was the least (0.3%). Prevalence of ANSLD was found to be 14.1%. Of ANSLD 38.9% of them had aphasia, Dysarthria and undifferentiated speech language disorders constitute 7.4% & 53.7% respectively. Stroke (AOR=25.7, 95%CI, 9.9-66.9, P<0.001), GBS (AOR=15.8, 95%CI, 1.4- 179.5. P=0.026), MG (AOR=23.7, 95%CI, 3.5-160.8, P=0.001) AND MS (AOR=15.8, 95%CI, 1.4-179.5, P=0.026) were found to have significant association with ANSLD.in this study it is found that ANSLD was lower compared to other studies. Association observed with stroke, GBS, MG, & MS was consistent with other different studies. Based on the findings of this study, it is recommended that the Federal Ministry of Health should allocate adequate resources to integrate speech and language therapists in department of neurology at TASH. The Department of Neurology at TASH should follow universal measuring toll for screening acquired neurologic speech and language disorder.

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Adult Neurologic Patients

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