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Poststroke Fatigue: A 2-Year Follow-Up Study of Stroke Patients in Sweden
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Medicine.
2002 (English)In: Stroke, ISSN 0039-2499, E-ISSN 1524-4628, Vol. 33, 1327-1333 p.Article in journal (Refereed) Published
Abstract [en]

Background and Purpose Fatigue is common among stroke patients. This study determined the prevalence of fatigue among long-term survivors after stroke and what impact fatigue had on various aspects of daily life and on survival.

Methods— This study was based on Riks-Stroke, a hospital-based national register for quality assessment of acute stroke events in Sweden. During the first 6 months of 1997, 8194 patients were registered in Riks-Stroke, and 5189 were still alive 2 years after the stroke. They were followed up by a mail questionnaire, to which 4023 (79%) responded. Patients who reported that they always felt depressed were excluded.

Results— To the question, “Do you feel tired?” 366 (10.0%) of the patients answered that they always felt tired, and an additional 1070 (29.2%) were often tired. Patients who always felt tired were on average older than the rest of the study population (74.5 versus 71.5 years, P<0.001); therefore, all subsequent analyses were age adjusted. Fatigue was an independent predictor for having to move into an institutional setting after stroke. Fatigue was also an independent predictor for being dependent in primary activities of daily living functions. Three years after stroke, patients with fatigue also had a higher case fatality rate.

Conclusions— Fatigue is frequent and often severe, even late after stroke. It is associated with profound deterioration of several aspects of everyday life and with higher case fatality, but it usually receives little attention by healthcare professionals. Intervention studies are needed.

Place, publisher, year, edition, pages
American Heart Association, Inc. , 2002. Vol. 33, 1327-1333 p.
Keyword [en]
fatigue, follow-up studies, outcome
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:umu:diva-94809DOI: 10.1161/01.STR.0000014248.28711.D6OAI: oai:DiVA.org:umu-94809DiVA: diva2:756432
Projects
digitalisering@umu
Available from: 2014-10-17 Created: 2014-10-17 Last updated: 2017-12-05Bibliographically approved
In thesis
1. Stroke care in Sweden: Hospital care and patient follow-up based on Riks-Stroke, the National Quality Register for Stroke Care
Open this publication in new window or tab >>Stroke care in Sweden: Hospital care and patient follow-up based on Riks-Stroke, the National Quality Register for Stroke Care
2003 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Umeå: Umeå Universitet, 2003. 92 p.
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 838
Keyword
stroke care, quality register, routine clinical practice, validation, sex differences, stroke units, atrial fibrillation, oral anticoagulants, post-stroke fatigue
National Category
Clinical Medicine
Identifiers
urn:nbn:se:umu:diva-94114 (URN)91-7305-426-7 (ISBN)
Public defence
2003-05-28, Tandläkarhögskolan, sal B, 9 trp., Umeå universitet, Umeå, 13:00
Opponent
Supervisors
Projects
digitalisering@umu
Note

Diss. (sammanfattning) Umeå : Umeå universitet, 2003

Available from: 2014-10-17 Created: 2014-10-03 Last updated: 2015-04-08Bibliographically approved

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Glader, Eva-LottaStegmayr, BirgittaAsplund, Kjell

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