Influence of Medication on Fatigue Six Months after Stroke
Identifieur interne : 001A73 ( Ncbi/Checkpoint ); précédent : 001A72; suivant : 001A74Influence of Medication on Fatigue Six Months after Stroke
Auteurs : Amélie Ponchel [France] ; Julien Labreuche [France] ; Stéphanie Bombois [France] ; Christine Delmaire [France] ; Régis Bordet [France] ; Hilde Hénon [France]Source :
- Stroke Research and Treatment [ 2090-8105 ] ; 2016.
Abstract
Poststroke fatigue (PSF) is frequent and affects patients' quality of life. Medication use was hypothesized as being responsible for PSF. Our objective was to evaluate potential relationships between 6-month PSF and medication use at discharge and 6 months after an ischemic stroke. This study is part of STROKDEM, an ongoing longitudinal cohort study, whose main aim is to determine predictors of poststroke dementia. Patients were included within 72 hours after an ischemic stroke and followed up with standardized evaluations. Medication use 7 days and 6 months after stroke was rated, and polypharmacy was defined as the number of categories of treatments received by a patient. PSF was evaluated using the Chalder Fatigue Scale. Medical history, vascular risk factors, depression, anxiety, and sleep disturbances were evaluated. One hundred and fifty-three patients were included: 52.9% presented PSF. PSF at 6 months was not predicted by medication use at discharge nor associated with medication use at month 6. We found severity of PSF to be increased in patients with polypharmacy. Our results suggest that PSF is not a side effect of drugs use, which more reflects presence of disturbances frequently observed after stroke such as depression, anxiety, or sleep disturbances. Clinical study is registered on clinicaltrials.gov (
Url:
DOI: 10.1155/2016/2410921
PubMed: 27413577
PubMed Central: 4930814
Affiliations:
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Lille, INSERM U1171, 59000 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Department of Neurology, Lille University Hospital, 59000 Lille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurology, Lille University Hospital, 59000 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Delmaire, Christine" sort="Delmaire, Christine" uniqKey="Delmaire C" first="Christine" last="Delmaire">Christine Delmaire</name><affiliation wicri:level="3"><nlm:aff id="I1">Degenerative & Vascular Cognitive Disorders, Univ. Lille, INSERM U1171, 59000 Lille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Degenerative & Vascular Cognitive Disorders, Univ. Lille, INSERM U1171, 59000 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I5">Department of Neuroradiology, Lille University Hospital, 59000 Lille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neuroradiology, Lille University Hospital, 59000 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Bordet, Regis" sort="Bordet, Regis" uniqKey="Bordet R" first="Régis" last="Bordet">Régis Bordet</name><affiliation wicri:level="3"><nlm:aff id="I1">Degenerative & Vascular Cognitive Disorders, Univ. Lille, INSERM U1171, 59000 Lille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Degenerative & Vascular Cognitive Disorders, Univ. Lille, INSERM U1171, 59000 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I2">Department of Medical Pharmacology, Univ. Lille, 59000 Lille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Medical Pharmacology, Univ. Lille, 59000 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author><author><name sortKey="Henon, Hilde" sort="Henon, Hilde" uniqKey="Henon H" first="Hilde" last="Hénon">Hilde Hénon</name><affiliation wicri:level="3"><nlm:aff id="I1">Degenerative & Vascular Cognitive Disorders, Univ. Lille, INSERM U1171, 59000 Lille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Degenerative & Vascular Cognitive Disorders, Univ. Lille, INSERM U1171, 59000 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="I3">Department of Neurology, Lille University Hospital, 59000 Lille, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Neurology, Lille University Hospital, 59000 Lille</wicri:regionArea><placeName><region type="region" nuts="2">Hauts-de-France</region><region type="old region" nuts="2">Nord-Pas-de-Calais</region><settlement type="city">Lille</settlement></placeName></affiliation></author></analytic><series><title level="j">Stroke Research and Treatment</title><idno type="ISSN">2090-8105</idno><idno type="eISSN">2042-0056</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Poststroke fatigue (PSF) is frequent and affects patients' quality of life. Medication use was hypothesized as being responsible for PSF. Our objective was to evaluate potential relationships between 6-month PSF and medication use at discharge and 6 months after an ischemic stroke. This study is part of STROKDEM, an ongoing longitudinal cohort study, whose main aim is to determine predictors of poststroke dementia. Patients were included within 72 hours after an ischemic stroke and followed up with standardized evaluations. Medication use 7 days and 6 months after stroke was rated, and polypharmacy was defined as the number of categories of treatments received by a patient. PSF was evaluated using the Chalder Fatigue Scale. Medical history, vascular risk factors, depression, anxiety, and sleep disturbances were evaluated. One hundred and fifty-three patients were included: 52.9% presented PSF. PSF at 6 months was not predicted by medication use at discharge nor associated with medication use at month 6. We found severity of PSF to be increased in patients with polypharmacy. Our results suggest that PSF is not a side effect of drugs use, which more reflects presence of disturbances frequently observed after stroke such as depression, anxiety, or sleep disturbances. Clinical study is registered on clinicaltrials.gov (<ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT01330160">NCT01330160</ext-link>).</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hubacher, M" uniqKey="Hubacher M">M. Hubacher</name></author><author><name sortKey="Calabrese, P" uniqKey="Calabrese P">P. Calabrese</name></author><author><name sortKey="Bassetti, C" uniqKey="Bassetti C">C. Bassetti</name></author><author><name sortKey="Carota, A" uniqKey="Carota A">A. Carota</name></author><author><name sortKey="Stocklin, M" uniqKey="Stocklin M">M. Stöcklin</name></author><author><name sortKey="Penner, I K" uniqKey="Penner I">I.-K. 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Chalder</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>France</li></country><region><li>Hauts-de-France</li><li>Nord-Pas-de-Calais</li></region><settlement><li>Lille</li></settlement></list><tree><country name="France"><region name="Hauts-de-France"><name sortKey="Ponchel, Amelie" sort="Ponchel, Amelie" uniqKey="Ponchel A" first="Amélie" last="Ponchel">Amélie Ponchel</name></region><name sortKey="Bombois, Stephanie" sort="Bombois, Stephanie" uniqKey="Bombois S" first="Stéphanie" last="Bombois">Stéphanie Bombois</name><name sortKey="Bombois, Stephanie" sort="Bombois, Stephanie" uniqKey="Bombois S" first="Stéphanie" last="Bombois">Stéphanie Bombois</name><name sortKey="Bordet, Regis" sort="Bordet, Regis" uniqKey="Bordet R" first="Régis" last="Bordet">Régis Bordet</name><name sortKey="Bordet, Regis" sort="Bordet, Regis" uniqKey="Bordet R" first="Régis" last="Bordet">Régis Bordet</name><name sortKey="Delmaire, Christine" sort="Delmaire, Christine" uniqKey="Delmaire C" first="Christine" last="Delmaire">Christine Delmaire</name><name sortKey="Delmaire, Christine" sort="Delmaire, Christine" uniqKey="Delmaire C" first="Christine" last="Delmaire">Christine Delmaire</name><name sortKey="Henon, Hilde" sort="Henon, Hilde" uniqKey="Henon H" first="Hilde" last="Hénon">Hilde Hénon</name><name sortKey="Henon, Hilde" sort="Henon, Hilde" uniqKey="Henon H" first="Hilde" last="Hénon">Hilde Hénon</name><name sortKey="Labreuche, Julien" sort="Labreuche, Julien" uniqKey="Labreuche J" first="Julien" last="Labreuche">Julien Labreuche</name><name sortKey="Ponchel, Amelie" sort="Ponchel, Amelie" uniqKey="Ponchel A" first="Amélie" last="Ponchel">Amélie Ponchel</name><name sortKey="Ponchel, Amelie" sort="Ponchel, Amelie" uniqKey="Ponchel A" first="Amélie" last="Ponchel">Amélie Ponchel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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