Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke

Stroke is a major cause of disability and the second leading cause of death worldwide. Post-stroke fatigue has been reported as one of the most limiting symptoms after a stroke. Early identification of risk factors for developing post-stroke fatigue is important for providing timely rehabilitation....

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Autores principales:	Josefin Holmberg, Beatrice Jondell, Tamar Abzhandadze, Katharina S. Sunnerhagen
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	stroke fatigue cognition prediction cerebral infarction screening Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/c63f122dbe9648849f2b3a4fce73659a
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spelling	oai:doaj.org-article:c63f122dbe9648849f2b3a4fce73659a2021-11-11T10:15:59ZVery Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke1662-516110.3389/fnhum.2021.742105https://doaj.org/article/c63f122dbe9648849f2b3a4fce73659a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fnhum.2021.742105/fullhttps://doaj.org/toc/1662-5161Stroke is a major cause of disability and the second leading cause of death worldwide. Post-stroke fatigue has been reported as one of the most limiting symptoms after a stroke. Early identification of risk factors for developing post-stroke fatigue is important for providing timely rehabilitation. A correlation has been found between fatigue and cognitive impairment after stroke, but 2 months after stroke at the earliest. In the present study, we examined whether cognitive function screening using the Montreal Cognitive Assessment (MoCA) very early after stroke could explain fatigue 3 months after stroke. A total of 311 stroke patients admitted to a comprehensive stroke unit in Sweden between 2011 and 2016 were included in this longitudinal study. Cognition was screened within 2 days after admission to the stroke unit. Data on self-reported feeling of fatigue were retrieved from Riksstroke’s 3-month follow-up form. The data were analyzed using binary logistic regression. We found that the cognitive function in an acute phase after stroke could not explain self-reported feeling of fatigue in a later stage. The correlation between cognitive impairment and fatigue that has been reported may be detectable no earlier than the subacute phase of stroke. As previous studies have shown that functional outcome, severity of stroke, and sex also correlate with fatigue after stroke, we controlled for these variables in our analysis. In line with previous studies, we found that female patients had higher odds of experiencing fatigue. This is something that health care professionals should be aware of when working with stroke patients.Josefin HolmbergBeatrice JondellTamar AbzhandadzeTamar AbzhandadzeKatharina S. SunnerhagenFrontiers Media S.A.articlestrokefatiguecognitionpredictioncerebral infarctionscreeningNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENFrontiers in Human Neuroscience, Vol 15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	stroke fatigue cognition prediction cerebral infarction screening Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	stroke fatigue cognition prediction cerebral infarction screening Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Josefin Holmberg Beatrice Jondell Tamar Abzhandadze Tamar Abzhandadze Katharina S. Sunnerhagen Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
description	Stroke is a major cause of disability and the second leading cause of death worldwide. Post-stroke fatigue has been reported as one of the most limiting symptoms after a stroke. Early identification of risk factors for developing post-stroke fatigue is important for providing timely rehabilitation. A correlation has been found between fatigue and cognitive impairment after stroke, but 2 months after stroke at the earliest. In the present study, we examined whether cognitive function screening using the Montreal Cognitive Assessment (MoCA) very early after stroke could explain fatigue 3 months after stroke. A total of 311 stroke patients admitted to a comprehensive stroke unit in Sweden between 2011 and 2016 were included in this longitudinal study. Cognition was screened within 2 days after admission to the stroke unit. Data on self-reported feeling of fatigue were retrieved from Riksstroke’s 3-month follow-up form. The data were analyzed using binary logistic regression. We found that the cognitive function in an acute phase after stroke could not explain self-reported feeling of fatigue in a later stage. The correlation between cognitive impairment and fatigue that has been reported may be detectable no earlier than the subacute phase of stroke. As previous studies have shown that functional outcome, severity of stroke, and sex also correlate with fatigue after stroke, we controlled for these variables in our analysis. In line with previous studies, we found that female patients had higher odds of experiencing fatigue. This is something that health care professionals should be aware of when working with stroke patients.
format	article
author	Josefin Holmberg Beatrice Jondell Tamar Abzhandadze Tamar Abzhandadze Katharina S. Sunnerhagen
author_facet	Josefin Holmberg Beatrice Jondell Tamar Abzhandadze Tamar Abzhandadze Katharina S. Sunnerhagen
author_sort	Josefin Holmberg
title	Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_short	Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_full	Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_fullStr	Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_full_unstemmed	Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke
title_sort	very early cognitive screening and self-reported feeling of fatigue three months after stroke
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/c63f122dbe9648849f2b3a4fce73659a
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Very Early Cognitive Screening and Self-Reported Feeling of Fatigue Three Months After Stroke

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