Physical impairment, depressive symptoms and pre-stroke fatigue are related to fatigue in the acute phase after stroke.

Abstract:

PURPOSE:The aim of this study was to describe prevalence of fatigue and its relationship with demographic and clinical variables during the first 2 weeks (acute phase) following a stroke. METHOD:Data were collected in a cross-sectional correlational study from face-to-face interviews using structured questionnaires and patient's medical records. The sample consists of 115 patients with first-ever stroke admitted to two hospitals in Norway in 2007 and 2008. Post-stroke fatigue was measured with the Fatigue Severity Scale (FSS). The FSS measure was applied in the analysis as a continuous variable, and also used to categorise patients into three groups of fatigue intensity: no fatigue (mean FSS-score <4), moderate fatigue (mean FSS-score = 4-4.9) and severe fatigue (mean FSS-score ≥5). Patients who reported fatigue lasting longer than 3 months before the stroke were defined as having prestroke fatigue. RESULTS:Pre-stroke fatigue was reported by 34 patients (30%). After stroke, 24% had severe fatigue, and fatigue was more common for women (57%). Controlling for sex and prestroke fatigue, the multivariate analysis showed that prestroke fatigue, lower physical function and depressive symptoms were related to post-stroke fatigue. CONCLUSION:Pre-stroke fatigue and fatigue during the acute phase needs to be assessed in relation to physical functioning and depression during recovery and the rehabilitation process.

journal_name

Disabil Rehabil

authors

Lerdal A,Bakken LN,Rasmussen EF,Beiermann C,Ryen S,Pynten S,Drefvelin AS,Dahl AM,Rognstad G,Finset A,Lee KA,Kim HS

doi

10.3109/09638288.2010.490867

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

334-42

issue

4

eissn

0963-8288

issn

1464-5165

journal_volume

33

pub_type

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