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Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later
OBJECTIVE: To determine whether fatigue in the acute phase following stroke predicts long-term patient-reported physical and mental health outcomes 18 months later. METHODS: Patients (n = 96, mean age 67.8 years, SD 12.9) were assessed within 2 weeks of hospital admission for first-ever stroke (acut...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2013
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806915/ https://www.ncbi.nlm.nih.gov/pubmed/24078734 http://dx.doi.org/10.1212/WNL.0b013e3182a9f471 |
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author | Lerdal, Anners Gay, Caryl L. |
author_facet | Lerdal, Anners Gay, Caryl L. |
author_sort | Lerdal, Anners |
collection | PubMed |
description | OBJECTIVE: To determine whether fatigue in the acute phase following stroke predicts long-term patient-reported physical and mental health outcomes 18 months later. METHODS: Patients (n = 96, mean age 67.8 years, SD 12.9) were assessed within 2 weeks of hospital admission for first-ever stroke (acute phase) and 18 months later. Measures included the Fatigue Severity Scale and the Beck Depression Inventory II. The Short Form–36 was used to assess self-reported physical and mental health. Multivariate regression analysis was used to evaluate the relationship between acute phase fatigue and later health outcomes, controlling for relevant covariates. RESULTS: Acute phase fatigue was associated with physical health at 18-month follow-up, but not with mental health. After adjusting for other potential predictors of health outcomes, including age, sex, cohabitation status, acute phase physical or mental health, and depressive symptoms, acute phase fatigue remained a significant predictor of later physical health but not of later mental health. The reverse relationships were also examined, but neither physical nor mental health in the acute phase predicted fatigue at 18 months; the best predictor of fatigue at 18-month follow-up was acute phase fatigue. CONCLUSIONS: These findings suggest that acute phase fatigue is an independent risk factor for poor physical health 18 months after stroke. Diagnosis and treatment of acute phase fatigue may improve physical health-related quality of life among stroke survivors. Effective treatments for poststroke fatigue, both in the acute phase and later in the recovery period, are needed. |
format | Online Article Text |
id | pubmed-3806915 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-38069152013-10-31 Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later Lerdal, Anners Gay, Caryl L. Neurology Article OBJECTIVE: To determine whether fatigue in the acute phase following stroke predicts long-term patient-reported physical and mental health outcomes 18 months later. METHODS: Patients (n = 96, mean age 67.8 years, SD 12.9) were assessed within 2 weeks of hospital admission for first-ever stroke (acute phase) and 18 months later. Measures included the Fatigue Severity Scale and the Beck Depression Inventory II. The Short Form–36 was used to assess self-reported physical and mental health. Multivariate regression analysis was used to evaluate the relationship between acute phase fatigue and later health outcomes, controlling for relevant covariates. RESULTS: Acute phase fatigue was associated with physical health at 18-month follow-up, but not with mental health. After adjusting for other potential predictors of health outcomes, including age, sex, cohabitation status, acute phase physical or mental health, and depressive symptoms, acute phase fatigue remained a significant predictor of later physical health but not of later mental health. The reverse relationships were also examined, but neither physical nor mental health in the acute phase predicted fatigue at 18 months; the best predictor of fatigue at 18-month follow-up was acute phase fatigue. CONCLUSIONS: These findings suggest that acute phase fatigue is an independent risk factor for poor physical health 18 months after stroke. Diagnosis and treatment of acute phase fatigue may improve physical health-related quality of life among stroke survivors. Effective treatments for poststroke fatigue, both in the acute phase and later in the recovery period, are needed. Lippincott Williams & Wilkins 2013-10-29 /pmc/articles/PMC3806915/ /pubmed/24078734 http://dx.doi.org/10.1212/WNL.0b013e3182a9f471 Text en © 2013 American Academy of Neurology This is an open access article distributed under the terms of the Creative Commons Attribution-Noncommercial No Derivative 3.0 License, which permits downloading and sharing the work provided it is properly cited. The work cannot be changed in any way or used commercially. |
spellingShingle | Article Lerdal, Anners Gay, Caryl L. Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later |
title | Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later |
title_full | Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later |
title_fullStr | Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later |
title_full_unstemmed | Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later |
title_short | Fatigue in the acute phase after first stroke predicts poorer physical health 18 months later |
title_sort | fatigue in the acute phase after first stroke predicts poorer physical health 18 months later |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806915/ https://www.ncbi.nlm.nih.gov/pubmed/24078734 http://dx.doi.org/10.1212/WNL.0b013e3182a9f471 |
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