Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
E-pub ahead of print

How to identify fatigue in stroke patients: an investigation of the post-stroke fatigue case definition validity

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. The effect of pelvic floor muscle training on sexual function in men with lower urinary tract symptoms after stroke

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Kinesthetic taping improves walking function in patients with stroke: a pilot cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Time trends in incidence, comorbidity, and mortality of ischemic stroke in Denmark, 1996-2016

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Blood pressure after follow-up in a stroke prevention clinic

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Atypisk aura forårsaget af blodprop hos en 42-årig mand med migræne med aura.

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Første tilfælde af Mycobacterium chimaerainfektion relateret til åben thoraxkirurgi i Danmark

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Background: Fatigue is a common and often debilitating stroke sequela, and it is important to accurately define and detect post-stroke fatigue. Often questionnaires are used but a case definition has been developed and proposed as a better tool.Objectives: The aim of the study was to determine validity and inter-rater agreement of the case definition of post-stroke fatigue, and to determine optimal cutoff scores for marked fatigue on the Multidimensional Fatigue Inventory-20 and the Fatigue Severity Scale-7 questionnaires.Methods: Stroke patients were interviewed with the structured interview schedule for the case definition and asked to complete the two questionnaires. To examine the inter-rater agreement of the case definition a second interviewer did another interview blinded to the result of the first interview.Results: Seventy patients were enrolled, 44% women. The median age was 74 years (interquartile range: 67-80) and the median time from stroke to interview was 8 days. The median Fatigue Severity Scale-7 score and the median Multidimensional Fatigue Inventory-20 (General Fatigue subscale) score were higher in the case definition positive than in the negative group (p < .001). The kappa value for the inter-rater agreement was 0.63. A cutoff score of 4.9 for the Fatigue Severity Scale-7 and a cutoff score of 12 on the Multidimensional Fatigue Inventory-20 were optimal to identify marked fatigue according to the case definition.Conclusions: The case definition was valid and had a substantial inter-rater agreement. A score ≥ 5 using the Fatigue Severity Scale-7 or a score ≥ 12 using the Multidimensional Fatigue Inventory-20 (General Fatigue subscale) may be used to detect potentially debilitating post-stroke fatigue in stroke survivors.

OriginalsprogEngelsk
TidsskriftTopics in Stroke Rehabilitation
Sider (fra-til)1-8
Antal sider8
ISSN1074-9357
DOI
StatusE-pub ahead of print - 21 dec. 2019

ID: 59087859