Fatigue after stroke: frequency and effect on daily life

  • Crosby G
  • Munshi S
  • Karat A
 et al. 
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Abstract

PURPOSE: An audit was conducted to assess the frequency of fatigue after stroke, to determine the impact on daily life, and whether it was discussed with clinicians. METHOD: Patients were recruited from Nottingham University Hospitals NHS Trust stroke service. Patients were interviewed about their fatigue, and the Fatigue Severity Subscale (FSS-FAI), Brief Assessment Schedule for Depression Cards (BASDEC), Barthel Index and Nottingham Extended Activities of Daily Living (EADL) Scale were administered. RESULTS: 64 patients were recruited, with a mean age 73.5 years (SD 14.0, range 37-94 years), 37 (58%) as in-patients and 27 (42%) as outpatients. There were 41 (64%) who reported significant levels of fatigue and 31 (48%) with significant fatigue on the Fatigue Severity Scale. Demographic and clinical variables were not significantly related to fatigue (p[THIN SPACE]>[THIN SPACE]0.05), apart from gender, with women reporting significantly more fatigue than men (p[THIN SPACE]=[THIN SPACE]0.006). There was a moderate correlation between the BASDEC and FSS (r(s)[THIN SPACE]=[THIN SPACE]0.41, p[THIN SPACE]=[THIN SPACE]0.002). Of the 41 participants who reported fatigue, 33 (81%) had not discussed this with their clinician. CONCLUSIONS: Fatigue was a common problem after stroke. There was a lack of awareness in both patients and clinicians and little advice being given to patients with fatigue.

Author-supplied keywords

  • *Activities of Daily Living
  • *Fatigue/ep [Epidemiology]
  • *Stroke/co [Complications]
  • Adult
  • Aged
  • Aged, 80 and over
  • Depression/di [Diagnosis]
  • Depression/ep [Epidemiology]
  • Disability Evaluation
  • Fatigue/et [Etiology]
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Medical Audit
  • Middle Aged
  • Prevalence
  • Professional-Patient Relations
  • Psychiatric Status Rating Scales
  • Quality of Life/px [Psychology]
  • Severity of Illness Index
  • Sex Factors
  • Socioeconomic Factors
  • Stroke/ep [Epidemiology]
  • Stroke/rh [Rehabilitation]

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  • PMID: 21978259

Authors

  • Gail A Crosby

  • Sunil Munshi

  • Aaron Sanjit Karat

  • Esme Worthington

  • Nadina B Lincoln

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