Long-term fatigue after perimesencephalic subarachnoid haemorrhage in relation to cognitive functioning, mood and comorbidity.

Autor:	Boerboom W; a Rijndam Rehabilitation Center , Rotterdam , The Netherlands.; b Department of Rehabilitation Medicine , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands., van Zandvoort MJ; c Department of Neurology , Brain Center Rudolf Magnus Institute, & Experimental Psychology, Helmholtz Institute, University Medical Center Utrecht , The Netherlands., van Kooten F; d Department of Neurology , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands., Khajeh L; d Department of Neurology , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands., Visser-Meily JM; e Brain Center Rudolf Magnus Institute, Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation , Utrecht , The Netherlands., Ribbers GM; a Rijndam Rehabilitation Center , Rotterdam , The Netherlands.; b Department of Rehabilitation Medicine , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands., Heijenbrok-Kal MH; a Rijndam Rehabilitation Center , Rotterdam , The Netherlands.; b Department of Rehabilitation Medicine , Erasmus MC, University Medical Center Rotterdam , Rotterdam , The Netherlands.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2017 May; Vol. 39 (9), pp. 928-933. Date of Electronic Publication: 2016 Jun 07.
DOI:	10.3109/09638288.2016.1172671
Abstrakt:	Purpose: To study relationships between fatigue and objective and subjective cognitive functioning, mood and comorbidity in the long term after perimesencephalic subarachnoid haemorrhage (PM-SAH). Methods: Cross-sectional study. Objective cognitive functioning was measured with: Trail Making Test; Symbol Substitution; D2; Verbal and Semantic Fluency; Tower Test; Digit Span; 15-Words Test; Rey Complex Figure. Subjective cognitive functioning: Cognitive Failure Questionnaire. Fatigue: Fatigue Severity Scale. Mood: Hospital Anxiety and Depression Scale. Results: Forty-six patients, mean age 50.4 (SD = 9.4), mean time after PM-SAH 4.7 (SD = 1.6) years participated. Patients with fatigue (33%) had significantly lower scores than patients without fatigue on most objective cognitive functioning tests (p < 0.05). Fatigue score was significantly associated with subjective and objective cognitive functioning, mood and comorbidity. After adjustment for mood and comorbidity, fatigue remained associated with attention and executive functioning. Conclusions: This study supports our previous findings that a third of patients with PM-SAH experience fatigue and problems of cognitive functioning, also in the long term. Future research should investigate whether these patients would benefit from long-term follow-up and/or cognitive rehabilitation programmes. Implications for Rehabilitation Consequences for patients with PM-SAH are underestimated. One in every three patients suffered from fatigue in the long term after onset of PM-SAH. Patients with PM-SAH should be screened for problems of cognitive functioning, fatigue and mood in outpatient clinic just as patients with aneurysmal SAH.
Databáze:	MEDLINE
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