Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.

This study investigated the association between post-stroke fatigue and inability to return to work/drive in young patients aged <60 years with first stroke who were employed prior to infarct while controlling for stroke severity, age, extent of disability, cognitive function, and depression. The...

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Autores principales:	Nicole Anna Rutkowski, Elham Sabri, Christine Yang
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/ba95cc4105d845a6b418e1004d4cad26
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spelling	oai:doaj.org-article:ba95cc4105d845a6b418e1004d4cad262021-12-02T20:18:46ZPost-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.1932-620310.1371/journal.pone.0255538https://doaj.org/article/ba95cc4105d845a6b418e1004d4cad262021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255538https://doaj.org/toc/1932-6203This study investigated the association between post-stroke fatigue and inability to return to work/drive in young patients aged <60 years with first stroke who were employed prior to infarct while controlling for stroke severity, age, extent of disability, cognitive function, and depression. The Fatigue Severity Scale (FSS) was used to evaluate post-stroke fatigue in this 1-year prospective cohort study. Follow-ups were completed at 3, 6, and 12 months post rehabilitation discharge. A total of 112 patients were recruited, 7 were excluded, due to loss to follow-up (n = 6) and being palliative (n = 1), resulting in 105 participants (71% male, average age 49 ±10.63 years). Stroke patients receiving both inpatient and outpatient rehabilitation were consecutively recruited. Persistent fatigue remained associated with inability to return to work when controlling for other factors at 3 months (adjusted OR = 18, 95% CI: 2.9, 110.3, p = 0.002), 6 months (adjusted OR = 29.81, 95% CI: 1.7, 532.8, p = 0.021), and 12 months (adjusted OR = 31.6, 95% CI: 1.8, 545.0, p = 0.018). No association was found between persistent fatigue and return to driving. Fatigue at admission was associated with inability to return to work at 3 months but not return to drive. Persistent fatigue was found to be associated with inability to resume work but not driving. It may be beneficial to routinely screen post-stroke fatigue in rehabilitation and educate stroke survivors and employers on the impacts of post-stroke fatigue on return to work.Nicole Anna RutkowskiElham SabriChristine YangPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255538 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Nicole Anna Rutkowski Elham Sabri Christine Yang Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.
description	This study investigated the association between post-stroke fatigue and inability to return to work/drive in young patients aged <60 years with first stroke who were employed prior to infarct while controlling for stroke severity, age, extent of disability, cognitive function, and depression. The Fatigue Severity Scale (FSS) was used to evaluate post-stroke fatigue in this 1-year prospective cohort study. Follow-ups were completed at 3, 6, and 12 months post rehabilitation discharge. A total of 112 patients were recruited, 7 were excluded, due to loss to follow-up (n = 6) and being palliative (n = 1), resulting in 105 participants (71% male, average age 49 ±10.63 years). Stroke patients receiving both inpatient and outpatient rehabilitation were consecutively recruited. Persistent fatigue remained associated with inability to return to work when controlling for other factors at 3 months (adjusted OR = 18, 95% CI: 2.9, 110.3, p = 0.002), 6 months (adjusted OR = 29.81, 95% CI: 1.7, 532.8, p = 0.021), and 12 months (adjusted OR = 31.6, 95% CI: 1.8, 545.0, p = 0.018). No association was found between persistent fatigue and return to driving. Fatigue at admission was associated with inability to return to work at 3 months but not return to drive. Persistent fatigue was found to be associated with inability to resume work but not driving. It may be beneficial to routinely screen post-stroke fatigue in rehabilitation and educate stroke survivors and employers on the impacts of post-stroke fatigue on return to work.
format	article
author	Nicole Anna Rutkowski Elham Sabri Christine Yang
author_facet	Nicole Anna Rutkowski Elham Sabri Christine Yang
author_sort	Nicole Anna Rutkowski
title	Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.
title_short	Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.
title_full	Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.
title_fullStr	Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.
title_full_unstemmed	Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.
title_sort	post-stroke fatigue: a factor associated with inability to return to work in patients <60 years-a 1-year follow-up.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/ba95cc4105d845a6b418e1004d4cad26
work_keys_str_mv	AT nicoleannarutkowski poststrokefatigueafactorassociatedwithinabilitytoreturntoworkinpatients60yearsa1yearfollowup AT elhamsabri poststrokefatigueafactorassociatedwithinabilitytoreturntoworkinpatients60yearsa1yearfollowup AT christineyang poststrokefatigueafactorassociatedwithinabilitytoreturntoworkinpatients60yearsa1yearfollowup
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Post-stroke fatigue: A factor associated with inability to return to work in patients <60 years-A 1-year follow-up.

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