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Descriptive statistics and multi-level multi-variable logistic regression were used to examine associations between aphasia status, processes of care, and patient outcomes, with level defined as hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Australian inpatient rehabilitation hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All patients with stroke who had aphasia status recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measures<\/jats:title>\n                    <jats:p>Adherence to processes of care recommended in the Australian and New Zealand Clinical Guidelines for Stroke Management. In-hospital outcomes included complications, independence, survival, and discharge destination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 9960 audits were included; 3160 (33%) patients had aphasia (56% male; median age 75; no aphasia: 56% male; median age 76). Patients with aphasia were more likely to have a mood impairment (54% vs. 44%) and less likely to be assessed by a psychologist (40% vs. 49%). Fewer patients with aphasia were involved in goal setting (84% vs. 88%) or development of care plans (91% vs. 96%); or asked about returning to work (67% vs. 74%) or driving (41% vs. 45%). Patients with aphasia had a longer length of stay (median 26 vs. 21 days, p\u22640.001) and were less independent on discharge (adjusted odds ratio (aOR) 0.80, 95% CI 0.71, 0.90).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Identified differences in stroke rehabilitation highlight the need for equitable access to care and effective patient-provider communication enabling people with aphasia to more fully participate in their rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251413258","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T17:42:52Z","timestamp":1768844572000},"page":"827-842","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparing inpatient stroke rehabilitation care and outcomes for people with and without aphasia in Australia"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6987-1822","authenticated-orcid":false,"given":"Marissa","family":"Stone","sequence":"first","affiliation":[{"name":"The University of Queensland"},{"name":"Surgical, Treatment and Rehabilitation Service Education and Research Alliance, The University of Queensland and Metro North Hospital and Health Service, Brisbane, Queensland, Australia"},{"name":"La Trobe University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0600-9343","authenticated-orcid":false,"given":"Sarah J.","family":"Wallace","sequence":"additional","affiliation":[{"name":"The University of Queensland"},{"name":"Surgical, Treatment and Rehabilitation Service Education and Research Alliance, The University of Queensland and Metro North Hospital and Health Service, Brisbane, Queensland, Australia"},{"name":"La Trobe University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2257-4270","authenticated-orcid":false,"given":"David A.","family":"Copland","sequence":"additional","affiliation":[{"name":"The University of Queensland"},{"name":"Surgical, Treatment and Rehabilitation Service Education and Research Alliance, The University of Queensland and Metro North Hospital and Health Service, Brisbane, Queensland, Australia"},{"name":"La Trobe University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8989-7876","authenticated-orcid":false,"given":"Catherine","family":"Burns","sequence":"additional","affiliation":[{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3332-5357","authenticated-orcid":false,"given":"Tara","family":"Purvis","sequence":"additional","affiliation":[{"name":"Monash University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8162-682X","authenticated-orcid":false,"given":"Dominique A.","family":"Cadilhac","sequence":"additional","affiliation":[{"name":"La Trobe University"},{"name":"Monash University"},{"name":"Stroke and Critical Care Theme, The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2322-8599","authenticated-orcid":false,"given":"Kelvin","family":"Hill","sequence":"additional","affiliation":[{"name":"La Trobe University"},{"name":"Stroke Programs, Research and Innovation, Stroke Foundation, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3375-287X","authenticated-orcid":false,"given":"Monique F.","family":"Kilkenny","sequence":"additional","affiliation":[{"name":"La Trobe University"},{"name":"Monash University"},{"name":"Stroke and Critical Care Theme, The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000098"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269215520905112"},{"key":"e_1_3_3_4_2","volume-title":"Patient-clinician communication in hospitals \u2013 communicating for safety at transitions of care: an information sheet for healthcare providers","author":"Australian Commission on Safety and Quality in Health Care","year":"2016","unstructured":"Australian Commission on Safety and Quality in Health Care. 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