ischemic stroke fatigue pituitary dysfunction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: A subject must meet all of the following criteria: - 18 years or older; - NIHSS score12 of ¡Ý 2; - be expected to be discharged to a rehabilitation unit or to home.
Exclusion criteria
Exclusion criteria: Patients will be excluded when they: - are being treated with chemotherapeutics; - are receiving (oral or intravenous) corticosteroid therapy for more than 1 month (not: inhalation corticosteroids); - are pregnant; - are not able to complete a questionnaire due to severe aphasia, non-Dutch speaking or severe cognitive disturbances; - have a history of hypothalamic/pituitary disease that significantly affects the study results, e.g. Cushing¡¯s disease, cranial irradiation or another significant intracranial lesion, multiple sclerosis, chronic fatigue syndrome and/or psychiatric condition that interferes with interpretation of the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the difference in prevalence of pituitary dysfunction between patients with and patients without fatigue after ischemic stroke. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To assess the time course of pituitary dysfunction after ischemic stroke. 2. To assess predictors of pituitary dysfunction after ischemic stroke, including stroke severity, stroke location and demographic factors. 3. To assess the association between pituitary dysfunction and depression, cognitive performance and functional status after ischemic stroke. 4. To assess independent predictors for poststroke fatigue, including pituitary dysfunction, depression, use of medication, comorbidity, laboratory disturbances, pain, illness representation, stroke location, stroke severity and sleep apnoea disorder. 5. To assess the association between fatigue and functional status after ischemic stroke. | — |
Contacts
VU Medical Center Department of Intensive Care P.O. Box 7057