Prevalence of poststroke fatigue and its relationship with clinical characteristics among community-dwelling stroke survivors: A cross-sectional survey

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2024-10-05 DOI:10.1016/j.cegh.2024.101812

Akhila Jagadish , Manikandan Natarajan , Vasudeva Guddattu , John M. Solomon

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引用次数: 0

Abstract

Background and objective

Poststroke fatigue is widely overlooked due to a lack of awareness, definite cause, and cure. It is influenced by cultural variance in psychosocial factors and stroke epidemiology patterns across different countries. To date, the prevalence of poststroke fatigue has not been determined in the Indian setting. Hence our objective was to estimate the prevalence of fatigue among community-living late subacute and chronic stroke survivors. Additionally, we determined the association between poststroke fatigue and participants’ clinical and demographic data.

Methods

A cross-sectional survey was conducted among first-time stroke survivors following discharge from two tertiary care hospitals. Medical records were screened and included if they met the criteria for age >18 years, able to follow a two-step command with no existing neurological or systemic conditions that would influence fatigue scores. Telephonic consent was obtained, and an interview was conducted to obtain the scores for fatigue, daytime sleepiness, depression, functional mobility, and disability.

Results

A total of 323 participants (mean age: 60.3 ± 12.6 years, mean stroke duration: 8.6 ± 4.4 months) completed the interview. Poststroke fatigue was reported in 11.8 % (n = 38) of the population. Occupational status (χ² = 5.73), functional mobility (χ² = 5.84), and disability scores (χ² = 8.00) were significantly associated (p < 0.05) with fatigue scores. Individuals with disability exhibited five times (OR = 5.00, CI: 1.45–17.23, p = 0.01) higher odds of experiencing fatigue than those without disability.

Conclusion

Our study reported a relatively lower prevalence of fatigue among community-living late subacute and chronic stroke survivors. Implementing strategies to address these contributing factors could effectively ease fatigue in individuals recovering from stroke.

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居住在社区的中风幸存者中风后疲劳的普遍程度及其与临床特征的关系：横断面调查

背景和目的由于缺乏认识、明确病因和治疗方法，卒中后疲劳被广泛忽视。它受到不同国家社会心理因素和卒中流行病学模式的文化差异的影响。迄今为止，印度尚未确定中风后疲劳的患病率。因此，我们的目标是估算在社区生活的晚期亚急性和慢性中风幸存者中疲劳的患病率。此外，我们还确定了中风后疲劳与参与者的临床和人口统计学数据之间的关联。方法我们对从两家三级医院出院后首次中风幸存者进行了横断面调查。对病历进行筛选，如果符合年龄为 18 岁、能够遵从两步指令、无影响疲劳评分的神经系统或全身性疾病的标准，则纳入调查对象。结果共有 323 名参与者（平均年龄：60.3±12.6 岁，平均卒中病程：8.6±4.4 个月）完成了访谈。其中 11.8%（n = 38）的人报告了中风后疲劳。职业状况（χ2 = 5.73）、功能活动度（χ2 = 5.84）和残疾评分（χ2 = 8.00）与疲劳评分显著相关（p < 0.05）。我们的研究报告显示，在社区生活的晚期亚急性和慢性卒中幸存者中，疲劳的发生率相对较低。针对这些诱因采取相应的策略可以有效缓解中风康复者的疲劳。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.