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Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke

Stroke is a major cause of disability and the second leading cause of death worldwide. Post-stroke fatigue has been reported as one of the most limiting symptoms after a stroke. Early identification of risk factors for developing post-stroke fatigue is important for providing timely rehabilitation....

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Autores principales: Holmberg, Josefin, Jondell, Beatrice, Abzhandadze, Tamar, Sunnerhagen, Katharina S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8632493/
https://www.ncbi.nlm.nih.gov/pubmed/34858152
http://dx.doi.org/10.3389/fnhum.2021.742105
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author Holmberg, Josefin
Jondell, Beatrice
Abzhandadze, Tamar
Sunnerhagen, Katharina S.
author_facet Holmberg, Josefin
Jondell, Beatrice
Abzhandadze, Tamar
Sunnerhagen, Katharina S.
author_sort Holmberg, Josefin
collection PubMed
description Stroke is a major cause of disability and the second leading cause of death worldwide. Post-stroke fatigue has been reported as one of the most limiting symptoms after a stroke. Early identification of risk factors for developing post-stroke fatigue is important for providing timely rehabilitation. A correlation has been found between fatigue and cognitive impairment after stroke, but 2 months after stroke at the earliest. In the present study, we examined whether cognitive function screening using the Montreal Cognitive Assessment (MoCA) very early after stroke could explain fatigue 3 months after stroke. A total of 311 stroke patients admitted to a comprehensive stroke unit in Sweden between 2011 and 2016 were included in this longitudinal study. Cognition was screened within 2 days after admission to the stroke unit. Data on self-reported feeling of fatigue were retrieved from Riksstroke’s 3-month follow-up form. The data were analyzed using binary logistic regression. We found that the cognitive function in an acute phase after stroke could not explain self-reported feeling of fatigue in a later stage. The correlation between cognitive impairment and fatigue that has been reported may be detectable no earlier than the subacute phase of stroke. As previous studies have shown that functional outcome, severity of stroke, and sex also correlate with fatigue after stroke, we controlled for these variables in our analysis. In line with previous studies, we found that female patients had higher odds of experiencing fatigue. This is something that health care professionals should be aware of when working with stroke patients.
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spelling pubmed-86324932021-12-01 Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke Holmberg, Josefin Jondell, Beatrice Abzhandadze, Tamar Sunnerhagen, Katharina S. Front Hum Neurosci Neuroscience Stroke is a major cause of disability and the second leading cause of death worldwide. Post-stroke fatigue has been reported as one of the most limiting symptoms after a stroke. Early identification of risk factors for developing post-stroke fatigue is important for providing timely rehabilitation. A correlation has been found between fatigue and cognitive impairment after stroke, but 2 months after stroke at the earliest. In the present study, we examined whether cognitive function screening using the Montreal Cognitive Assessment (MoCA) very early after stroke could explain fatigue 3 months after stroke. A total of 311 stroke patients admitted to a comprehensive stroke unit in Sweden between 2011 and 2016 were included in this longitudinal study. Cognition was screened within 2 days after admission to the stroke unit. Data on self-reported feeling of fatigue were retrieved from Riksstroke’s 3-month follow-up form. The data were analyzed using binary logistic regression. We found that the cognitive function in an acute phase after stroke could not explain self-reported feeling of fatigue in a later stage. The correlation between cognitive impairment and fatigue that has been reported may be detectable no earlier than the subacute phase of stroke. As previous studies have shown that functional outcome, severity of stroke, and sex also correlate with fatigue after stroke, we controlled for these variables in our analysis. In line with previous studies, we found that female patients had higher odds of experiencing fatigue. This is something that health care professionals should be aware of when working with stroke patients. Frontiers Media S.A. 2021-11-11 /pmc/articles/PMC8632493/ /pubmed/34858152 http://dx.doi.org/10.3389/fnhum.2021.742105 Text en Copyright © 2021 Holmberg, Jondell, Abzhandadze and Sunnerhagen. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neuroscience
Holmberg, Josefin
Jondell, Beatrice
Abzhandadze, Tamar
Sunnerhagen, Katharina S.
Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_full Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_fullStr Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_full_unstemmed Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_short Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_sort very early cognitive screening and self-reported feeling of fatigue three months after stroke
topic Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8632493/
https://www.ncbi.nlm.nih.gov/pubmed/34858152
http://dx.doi.org/10.3389/fnhum.2021.742105
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