Prevalence, Trajectory, and Predictors of Poststroke Fatigue among Ghanaians

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Fred Stephen SarfoPINGS Study Investigators

Abstract

Poststroke fatigue (PSF) is rife among stroke survivors and it exerts a detrimental toll on recovery from functional deficits. The burden of PSF is unknown in sub-Saharan Africa. We have assessed the prevalence, trajectory, and predictors of PSF among 60 recent Ghanaian stroke patients. Study participants in this prospective cohort (recruited between January 2017 and June 2017) were stroke survivors, aged greater than 18 years, with CT scan confirmed stroke of less than 1-month onset. PSF was assessed using the Fatigue Severity Scale (FSS) at enrollment, months 3, 6, and 9. Those with a score of greater than or equal to 4 points on FSS were categorized as "fatigued." A multivariate logistic regression analysis was performed to identify independent predictors of PSF at enrollment and at month 9. Sixty-five percent (65%) of our sample were males with a mean age of 55.1 ± 12.7 years. In addition to all participants having hypertension, 85% had dyslipidemia and 25% had diabetes mellitus. Ischemic strokes comprised 76.6% of the study population. The prevalence of PSF was 58.9% at baseline and declined to 23.6% at month 9, P = .0002. Diabetes mellitus was significantly associated with PSF at baseline with an adjusted odds ratio of 15...Continue Reading

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Aug 20, 2020·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Shuangmei ZhangWeifeng Zhu
Sep 18, 2020·F1000Research·Ghazaleh AaliFarhad Shokraneh
Apr 9, 2021·BMC Neurology·Lily Yuen Wah HoShamay Sheung Mei Ng
Sep 17, 2021·Nature Reviews. Neurology·Rufus O AkinyemiMayowa O Owolabi

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