Department of Head and Neck Surgery & Communication Sciences, Duke University School of Medicine, Durham, NC.
Department of Neurology, Duke University School of Medicine, Durham, NC.
Am J Speech Lang Pathol. 2024 Nov 4;33(6):3121-3128. doi: 10.1044/2024_AJSLP-24-00090. Epub 2024 Aug 22.
Diagnosis of language impairments after stroke is important to optimizing stroke outcomes. After right hemisphere brain damage (RHD), apragmatism can impact the comprehension and production of pragmatic language. However, despite decades of empirical evidence, there is no International Classification of Diseases (ICD) code for RHD pragmatic language impairments. The absence of an ICD code has far reaching ramifications that impact patient outcomes, including reduced clinical and public awareness, limited curricular content, and underdiagnosis. This viewpoint justifies the need to appropriately classify the pragmatic language symptomology after RHD with an ICD code.
An ICD code can positively influence health care practitioner knowledge, education, and practice while informing public health considerations vital to epidemiological analyses.
中风后语言障碍的诊断对优化中风预后非常重要。右脑损伤(RHD)后,语用障碍会影响语用语言的理解和产生。然而,尽管有几十年的经验证据,RHD 语用语言障碍却没有国际疾病分类(ICD)代码。缺乏 ICD 代码会产生深远的影响,包括降低临床和公众意识、有限的课程内容和漏诊。本观点认为需要用 ICD 代码对 RHD 后的语用语言症状进行适当分类。
ICD 代码可以积极影响医疗保健从业者的知识、教育和实践,同时为流行病学分析至关重要的公共卫生考虑提供信息。