Fatigue Impact Scale Demonstrates Greater Fatigue in Younger Stroke Survivors
Fatigue Impact Scale Demonstrates Greater Fatigue in Younger Stroke Survivors
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DOI：
10.1017/s0317167100015353
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发表时间：
2012-09-01
影响因子：
3
通讯作者：
Phillips, Stephen J.
中科院分区：
文献类型：
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作者：
Parks, Natalie E.;Eskes, Gail A.;Phillips, Stephen J.
背景：疲劳影响33-77%的中风幸存者。关于中风后疲劳的危险因素还没有达成共识，这可能反映了疲劳的多面性。我们使用疲劳影响量表（FIS）对卒中后疲劳进行了表征，该量表是一种有效的问卷调查，可捕获疲劳的身体、认知和心理社会方面。方法：卒中结局研究（SOS）前瞻性纳入2001-2002年的缺血性卒中患者。收集的指标包括基本人口统计学、病前功能（牛津残疾量表，OHS）、卒中严重程度（卒中严重程度量表，SSS）、卒中亚型（牛津郡社区卒中项目分类，OCSP）和出院功能（OHS; Barthel指数，BI）。在12个月时进行访谈，评价功能（BE;改良兰金评分，mRS）、生活质量（重返正常生活量表，RNL）、抑郁（老年抑郁量表，GDS）和疲劳（FIS）。结果：我们招募了522名缺血性卒中患者，228名（57.6%）幸存者完成了一年的随访。总的来说，36.8%的人赞同疲劳（59.5%的人认为疲劳是最严重的卒中后症状之一）。线性回归显示，年龄越小，疲劳频率越高（β =-0.20;p=0.01），持续时间越长（β =-0.22;p=0.01），
Background: Fatigue affects 33-77% of stroke survivors. There is no consensus concerning risk factors for fatigue post-stroke, perhaps reflecting the multifaceted nature of fatigue. We characterized post-stroke fatigue using the Fatigue Impact Scale (FIS), a validated questionnaire capturing physical, cognitive, and psychosocial aspects of fatigue. Methods: The Stroke Outcomes Study (SOS) prospectively enrolled ischemic stroke patients from 2001-2002. Measures collected included basic demographics, pre-morbid function (Oxford Handicap Scale, OHS), stroke severity (Stroke Severity Scale, SSS), stroke subtype (Oxfordshire Community Stroke Project Classification, OCSP), and discharge function (OHS; Barthel Index, BI). An interview was performed at 12 months evaluating function (BE; Modified Rankin Score, mRS), quality of life (Reintegration into Normal Living Scale, RNL), depression (Geriatric Depression Scale, GDS), and fatigue (FIS). Results: We enrolled 522 ischemic stroke patients and 228 (57.6%) survivors completed one-year follow-up. In total, 36.8% endorsed fatigue (59.5% rated one of worst post-stroke symptoms). Linear regression demonstrated younger age was associated with increased fatigue frequency (beta=-0.20;p=0.01), duration (beta=-0.22;p