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An Analysis of Characteristics of Post-Stroke Fatigue in Patients without Depression: A Retrospective Chart Review

Post-stroke fatigue (PSF) is among the most common stroke sequelae and affects rehabilitation, resulting in poor recovery. A main influencing factor may be depression, which has been investigated with fatigue in several clinical trials. We aimed to evaluate the characteristics of fatigue in post-str...

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Autores principales: Lee, Yu Jin, Jung, Woo-Sang, Kwon, Seungwon, Jin, Chul, Cho, Seung-Yeon, Park, Seong-Uk, Moon, Sang-Kwan, Park, Jung-Mi, Ko, Chang-Nam, Cho, Ki-Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8699200/
https://www.ncbi.nlm.nih.gov/pubmed/34942944
http://dx.doi.org/10.3390/brainsci11121642
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author Lee, Yu Jin
Jung, Woo-Sang
Kwon, Seungwon
Jin, Chul
Cho, Seung-Yeon
Park, Seong-Uk
Moon, Sang-Kwan
Park, Jung-Mi
Ko, Chang-Nam
Cho, Ki-Ho
author_facet Lee, Yu Jin
Jung, Woo-Sang
Kwon, Seungwon
Jin, Chul
Cho, Seung-Yeon
Park, Seong-Uk
Moon, Sang-Kwan
Park, Jung-Mi
Ko, Chang-Nam
Cho, Ki-Ho
author_sort Lee, Yu Jin
collection PubMed
description Post-stroke fatigue (PSF) is among the most common stroke sequelae and affects rehabilitation, resulting in poor recovery. A main influencing factor may be depression, which has been investigated with fatigue in several clinical trials. We aimed to evaluate the characteristics of fatigue in post-stroke patients without depression through a retrospective chart review. The medical records of stroke patients hospitalized in the Stroke and Brain Disease Center, Kyung Hee University Korean Medicine Hospital were reviewed. Stroke patients without depression were divided into a PSF group and control group (without fatigue). The demographic characteristics, type of stroke, medical history, laboratory examinations, clinical features, and pattern identification of each patient were recorded and compared between the study groups. The medical records of 216 patients were reviewed; 85 and 131 patients were assigned to the PSF and control group, respectively. Apolipoprotein A1 levels were significantly lower in the PSF than in the control group (105.6 ± 16.5 vs. 116.2 ± 21.8). We found a significantly higher occurrence of reversal cold of the extremities and a lower probability of fire-heat pattern in the PSF group than in the control group. This study suggests that apolipoprotein A1 levels are lower and cold manifestations are more common in PSF patients without depression than in those without fatigue.
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spelling pubmed-86992002021-12-24 An Analysis of Characteristics of Post-Stroke Fatigue in Patients without Depression: A Retrospective Chart Review Lee, Yu Jin Jung, Woo-Sang Kwon, Seungwon Jin, Chul Cho, Seung-Yeon Park, Seong-Uk Moon, Sang-Kwan Park, Jung-Mi Ko, Chang-Nam Cho, Ki-Ho Brain Sci Communication Post-stroke fatigue (PSF) is among the most common stroke sequelae and affects rehabilitation, resulting in poor recovery. A main influencing factor may be depression, which has been investigated with fatigue in several clinical trials. We aimed to evaluate the characteristics of fatigue in post-stroke patients without depression through a retrospective chart review. The medical records of stroke patients hospitalized in the Stroke and Brain Disease Center, Kyung Hee University Korean Medicine Hospital were reviewed. Stroke patients without depression were divided into a PSF group and control group (without fatigue). The demographic characteristics, type of stroke, medical history, laboratory examinations, clinical features, and pattern identification of each patient were recorded and compared between the study groups. The medical records of 216 patients were reviewed; 85 and 131 patients were assigned to the PSF and control group, respectively. Apolipoprotein A1 levels were significantly lower in the PSF than in the control group (105.6 ± 16.5 vs. 116.2 ± 21.8). We found a significantly higher occurrence of reversal cold of the extremities and a lower probability of fire-heat pattern in the PSF group than in the control group. This study suggests that apolipoprotein A1 levels are lower and cold manifestations are more common in PSF patients without depression than in those without fatigue. MDPI 2021-12-13 /pmc/articles/PMC8699200/ /pubmed/34942944 http://dx.doi.org/10.3390/brainsci11121642 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Lee, Yu Jin
Jung, Woo-Sang
Kwon, Seungwon
Jin, Chul
Cho, Seung-Yeon
Park, Seong-Uk
Moon, Sang-Kwan
Park, Jung-Mi
Ko, Chang-Nam
Cho, Ki-Ho
An Analysis of Characteristics of Post-Stroke Fatigue in Patients without Depression: A Retrospective Chart Review
title An Analysis of Characteristics of Post-Stroke Fatigue in Patients without Depression: A Retrospective Chart Review
title_full An Analysis of Characteristics of Post-Stroke Fatigue in Patients without Depression: A Retrospective Chart Review
title_fullStr An Analysis of Characteristics of Post-Stroke Fatigue in Patients without Depression: A Retrospective Chart Review
title_full_unstemmed An Analysis of Characteristics of Post-Stroke Fatigue in Patients without Depression: A Retrospective Chart Review
title_short An Analysis of Characteristics of Post-Stroke Fatigue in Patients without Depression: A Retrospective Chart Review
title_sort analysis of characteristics of post-stroke fatigue in patients without depression: a retrospective chart review
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8699200/
https://www.ncbi.nlm.nih.gov/pubmed/34942944
http://dx.doi.org/10.3390/brainsci11121642
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