Effects of acute fatigue on the outcome of aged patients with initial cerebral infarction
10.3760/cma.j.issn.1674-6554.2019.10.006
- VernacularTitle: 急性期疲劳对首发脑梗死老年患者患病结局的影响
- Author:
Shanshan WANG
1
;
Rongli FU
1
;
Xiaozhe HUANG
2
;
Jie LIU
2
Author Information
1. Department of Neurology, Huaihe Hospital of Henan University, Kaifeng 475000, China
2. Nursing Department, Huaihe Hospital of Henan University, Kaifeng 475000, China
- Publication Type:Clinical Trail
- Keywords:
Post-stroke fatigue;
Acute phase;
Cerebral infarction;
Outcome
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2019;28(10):893-897
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects of acute fatigue on the outcome of aged patients with cerebral infarction.
Methods:The Fatigue Severity Scale was used to investigate the incidence of fatigue in 240 elderly patients with acute cerebral infarction, to assess the outcome of the patients at discharge and one year after discharge, and to analyze the effect of acute fatigue on the functional recovery and survival of patients.
Results:Totally 89 patients (37.1%) suffered from acute fatigue.Multivariate Logistic regression analysis showed that high admission NIHSS score(OR=2.472, 95%CI= 1.931-3.164)and acute post-stroke fatigue(OR=4.820, 95%CI=2.281~10.187)were the influencing factors for functional recovery of elderly patients with cerebral infarction at discharge(P<0.01). High admission NIHSS score(OR=1.674, 95%CI=1.411-1.985), acute post-stroke fatigue(OR=2.123, 95%CI=1.187-3.796), mRS score≥ 2 at discharge(OR=9.822, 95%CI=4.899-19.693)and recurrence(OR=6.146, 95%CI=2.596-14.553)were independent risk factors for functional recovery of elderly patients with cerebral infarction one year after discharge (P<0.05). Multivariate Cox regression analysis showed that age (OR=1.096, 95%CI=1.027-1.169), post-stroke fatigue in acute phase OR=5.233, 95%CI=1.051-6.053)and recurrence(OR=13.983, 95%CI=2.821-49.307)were independent predictors of mortality for elderly patients with cerebral infarction (P<0.05).
Conclusion:Fatigue after acute stroke can effect the functional recovery and survival of elderly patients with cerebral infarction.
