Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After Stroke
Background and Objective: Fatigue is common among stroke survivors; and has significant negative consequences. However, long-term follow-up on post-stroke fatigue and it's association with cognitive and physiological parameters remains vague.Methods: A prospective cohort study was carried out o...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-10-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2020.562706/full |
| _version_ | 1818328774702268416 |
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| author | Eva Elgh Xiaolei Hu |
| author_facet | Eva Elgh Xiaolei Hu |
| author_sort | Eva Elgh |
| collection | DOAJ |
| description | Background and Objective: Fatigue is common among stroke survivors; and has significant negative consequences. However, long-term follow-up on post-stroke fatigue and it's association with cognitive and physiological parameters remains vague.Methods: A prospective cohort study was carried out on 38 young stroke survivors (aged 18–65 at stroke onset) living in the community 10 years after first-ever stroke. Fatigue was assessed by Fatigue assessment scale (FAS). Global cognition and cognitive sub-domains were assessed repeatedly at 1 week, 7 months, and 10 years after their first-ever stroke. Univariate correlation analysis was used to investigate associations and multivariate regression was used to investigate predictors and association with fatigue.Results: At 10-years follow-up after stroke onset, more than half of the 38 participants suffered from fatigue [with median score 25 on FAS with 25–75% percentile (21–28)]. Most of them were independent in their everyday life [mRS median score 1 (0–2)]. In univariate correlation analyses, higher fatigue score was significantly correlated to higher independence in the daily activity, higher BMI, anxiety, higher scores on global cognition and better working memory at 10-years follow-up as well as better visuospatial functions after 7 months and 10-years. In a multiple regression analysis, only visuospatial function at 7-months follow-up was a significant predictor of fatigue 10 years after stroke onset [F = 23.07, p < 0.009], with adjusted (R2 = 0.815) i.e., higher scores on Block design were associated with more fatigue.Conclusion: Our results extended the time course of post-stroke fatigue up to 10 years after stroke onset. The participants with more fatigue performed better in cognitive assessments and daily activity, which indicated dissociation between fatigue and fatigability among stroke patients. Visuospatial function at the sub-acute phase predicted independently late post-stroke fatigue. This may offer a broad time window for rehabilitation and information about fatigue. The clinical implications of the current findings are worth to be studied further. |
| first_indexed | 2024-12-13T12:37:31Z |
| format | Article |
| id | doaj.art-fb5584bf110048e19979905d284c47bd |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-13T12:37:31Z |
| publishDate | 2020-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-fb5584bf110048e19979905d284c47bd2022-12-21T23:45:47ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-10-011110.3389/fneur.2020.562706562706Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After StrokeEva Elgh0Xiaolei Hu1Department of Psychology, Umeå University, Umeå, SwedenDepartment of Community Medicine and Rehabilitation, Umeå University, Umeå, SwedenBackground and Objective: Fatigue is common among stroke survivors; and has significant negative consequences. However, long-term follow-up on post-stroke fatigue and it's association with cognitive and physiological parameters remains vague.Methods: A prospective cohort study was carried out on 38 young stroke survivors (aged 18–65 at stroke onset) living in the community 10 years after first-ever stroke. Fatigue was assessed by Fatigue assessment scale (FAS). Global cognition and cognitive sub-domains were assessed repeatedly at 1 week, 7 months, and 10 years after their first-ever stroke. Univariate correlation analysis was used to investigate associations and multivariate regression was used to investigate predictors and association with fatigue.Results: At 10-years follow-up after stroke onset, more than half of the 38 participants suffered from fatigue [with median score 25 on FAS with 25–75% percentile (21–28)]. Most of them were independent in their everyday life [mRS median score 1 (0–2)]. In univariate correlation analyses, higher fatigue score was significantly correlated to higher independence in the daily activity, higher BMI, anxiety, higher scores on global cognition and better working memory at 10-years follow-up as well as better visuospatial functions after 7 months and 10-years. In a multiple regression analysis, only visuospatial function at 7-months follow-up was a significant predictor of fatigue 10 years after stroke onset [F = 23.07, p < 0.009], with adjusted (R2 = 0.815) i.e., higher scores on Block design were associated with more fatigue.Conclusion: Our results extended the time course of post-stroke fatigue up to 10 years after stroke onset. The participants with more fatigue performed better in cognitive assessments and daily activity, which indicated dissociation between fatigue and fatigability among stroke patients. Visuospatial function at the sub-acute phase predicted independently late post-stroke fatigue. This may offer a broad time window for rehabilitation and information about fatigue. The clinical implications of the current findings are worth to be studied further.https://www.frontiersin.org/articles/10.3389/fneur.2020.562706/fullfatiguevisuospatial functionblock designstrokemultivariate analysislongitudinal study |
| spellingShingle | Eva Elgh Xiaolei Hu Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After Stroke Frontiers in Neurology fatigue visuospatial function block design stroke multivariate analysis longitudinal study |
| title | Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After Stroke |
| title_full | Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After Stroke |
| title_fullStr | Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After Stroke |
| title_full_unstemmed | Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After Stroke |
| title_short | Visuospatial Function at Sub-Acute Phase Predicts Fatigue 10 Years After Stroke |
| title_sort | visuospatial function at sub acute phase predicts fatigue 10 years after stroke |
| topic | fatigue visuospatial function block design stroke multivariate analysis longitudinal study |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2020.562706/full |
| work_keys_str_mv | AT evaelgh visuospatialfunctionatsubacutephasepredictsfatigue10yearsafterstroke AT xiaoleihu visuospatialfunctionatsubacutephasepredictsfatigue10yearsafterstroke |