Fatigue in relation to long-term participation outcome in aneurysmal subarachnoid haemorrhage survivors
DOI:
https://doi.org/10.2340/16501977-2800Keywords:
subarachnoid haemorrhage, fatigue, social participation, community integration, depression, stroke, rehabilitation.Abstract
Objective: To examine the association of fatigue with long-term participation in aneurysmal subarachnoid haemorrhage survivors. Design: Cohort study, 4 years post-onset. Subjects: A total of 59 patients with aneurysmal subarachnoid haemorrhage. Methods: Participation performance was assessed with the Sickness Impact Profile-68, participation autonomy and problem experience with the Impact on Participation and Autonomy questionnaire, and community integration with the Community Integration Questionnaire. Fatigue was assessed with the Fatigue Severity Scale and depression with the Center for Epidemiologic Studies-Depression scale. Multivariable linear regression analyses were performed. Results: Fifty-nine survivors (mean age 53.0 years, standard deviation (SD) 10.8 years) were included, of which 59.3% was fatigued. Fatigued patients had significantly worse participation scores than non-fatigued patients regarding performance (p?<?0.001), autonomy indoors (p?=?0.001), autonomy outdoors (p?=?0.002) and problem experience (p?=?0.001), but not regarding community integration. More severe fatigue was related to worse participation in terms of performance (B?=?2.79, p?<?0.001) and problem experience (B?=?0.08, p?=?0.003), adjusted for depression and inpatient rehabilitation. Conclusion: Four years after onset, many survivors of aneurysmal subarachnoid haemorrhage have persistent fatigue, which is independently associated with reduced participation in activities of daily living. Therefore, future studies should investigate whether rehabilitation programs that focus on fatigue are effective in improving long-term participation outcome after aneurysmal subarachnoid haemorrhage.Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Elisabeth Anne de Vries, Wendy Boerboom, Rita H.J.G. van den Berg-Emons, Fop van Kooten, Gerard M. Ribbers, Majanka H. Heijenbrok-Kal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All digitalized JRM contents is available freely online. The Foundation for Rehabilitation Medicine owns the copyright for all material published until volume 40 (2008), as from volume 41 (2009) authors retain copyright to their work and as from volume 49 (2017) the journal has been published Open Access, under CC-BY-NC licences (unless otherwise specified). The CC-BY-NC licenses allow third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.
From 2024, articles are published under the CC-BY licence. This license permits sharing, adapting, and using the material for any purpose, including commercial use, with the condition of providing full attribution to the original publication.