Fatigue after stroke - clinical and demographic correlates
Journal Title: European Journal of Clinical and Experimental Medicine - Year 2010, Vol 8, Issue 3
Abstract
Introduction. A significant proportion of stroke survivors (39-72%) suffer from persistent and significant fatigue. Staub at al. defined fatigue as a feeling of early exhaustion or tiredness developing during either mental or physical activity, or both, with weariness, lack of energy and aversion to effort. The aim of this research was to assess the influence of clinical factors (functional condition, neurological condition, emotional condition, stroke type and location) and demographic factors (age, sex) on the level of fatigue among patients up to 2 years after stroke. Material. One hundred patients aged were qualified for the study. They were treated from January 2007 to June 2008 on rehabilitation wards of the County Hospital in Lancut and the Regional Specialist Hospital in Rzeszow. Methods. The Energy/Fatigue subscale of the SF-36 Health Survey was used to assess the level of fatigue among patients after stroke. In addition, the Barthel Index was used to assess the functional status, the Scandinavian Stroke Scale was used to assess the neurological status, and the Beck Depression Inventory to assess the emotional status. Outcome. Emotional status is the main factor associated with fatigue (R=0,78; p < 0,05). Functional status also shows correlation with fatigue after stroke (R=0,37; p < 0,05). Stroke type and location, age and sex do not have a significant impact on the occurrence of fatigue. Conclusion. Depression and functional impairment can contribute to fatigue up to 2 years after stroke. Therapies aimed at improving emotional and functional status may be helpful in prevention and treatment of poststroke fatigue.
Authors and Affiliations
Agnieszka Bejer, Mirosław Probachta, Artur Sochacki
Keywords
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