Fatigue is Associated with Reduced Participation and Health-Related Quality of Life Five Years After Perimesencephalic Subarachnoid Haemorrhage: A Multicentre Cross-Sectional Study.

Autor:	De Vries EA; Erasmus MC, University Medical Center Rotterdam, Department of Rehabilitation Medicine; Rijndam Rehabilitation, Rotterdam, The Netherlands. ldvries@rijndam.nl., Boerboom W; Rijndam Rehabilitation, Rotterdam, The Netherlands., Van den Berg-Emons RJG; Erasmus MC, University Medical Center Rotterdam, Department of Rehabilitation Medicine., Van Kooten F; Erasmus MC, University Medical Center Rotterdam, Department of Neurology., Visser-Meily JMA; Department of Rehabilitation, Physical Therapy Science & Sports, UMC Utrecht Brain Center, University Medical Center Utrecht; Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands., Ribbers GM; Erasmus MC, University Medical Center Rotterdam, Department of Rehabilitation Medicine; Rijndam Rehabilitation, Rotterdam, The Netherlands., Heijenbrok-Kal MH; Erasmus MC, University Medical Center Rotterdam, Department of Rehabilitation Medicine; Rijndam Rehabilitation, Rotterdam, The Netherlands.
Jazyk:	angličtina
Zdroj:	Journal of rehabilitation medicine [J Rehabil Med] 2022 May 11; Vol. 54, pp. jrm00271. Date of Electronic Publication: 2022 May 11.
DOI:	10.2340/jrm.v54.212
Abstrakt:	Objective: To determine whether fatigue is associated with participation and health-related quality of life 5 years after perimesencephalic subarachnoid haemorrhage. Design: Multicentre cross-sectional study. Subjects: Forty-six patients with perimesencephalic subarachnoid haemorrhage. Methods: Fatigue was assessed with the Fatigue Severity Scale, participation (frequency, restrictions, satisfaction) with the Utrecht Scale for Evaluation of Rehabilitation-Participation, healthrelated quality of life with the Stroke-Specific Quality of Life Scale-12, symptoms of depression and anxiety with the Hospital Anxiety and Depression Scale, and coping with the Coping Inventory for Stressful Situations. Results: A total of 46 patients were included (63% men, mean age 50.4 ± 9.4 years), with a mean time of 4.7 ± 1.6 years after perimesencephalic subarachnoid haemorrhage onset. Fatigued patients (33%) had worse participation (p < 0.01) and health-related quality of life (p < 0.001) than non-fatigued patients, and more often had hypertension, depression, anxiety and emotion-oriented coping (p < 0.05). Fatigue severity was inversely and independently (p < 0.005) associated with participation frequency (B = -3.62), satisfaction (B = -4.54), having restrictions (odds ratio = 2.48, 95% confidence interval 1.079-5.685), and health-related quality of life (B = -0.19), adjusted for depression, anxiety, and/or hypertension. Conclusion: Five years after perimesencephalic subarachnoid haemorrhage, one-third of patients still reported fatigue, which was associated with worse participation and health-related quality of life. Future studies should examine whether these patients may benefit from rehabilitation aimed at fatigue.
Databáze:	MEDLINE
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