Fatigue in young patients with acquired brain injury in the rehabilitation setting: Categorizing and interpreting fatigue severity levels

Dev Neurorehabil. 2022 Nov;25(8):542-553. doi: 10.1080/17518423.2022.2099994. Epub 2022 Jul 26.

Abstract

Purpose: Fatigue in patients with acquired brain injury (ABI) is common. However, to better target fatigue, clear ways to categorize/interpret fatigue-severity in individual patients are lacking. This study aims to determine/categorize fatigue severity among children, adolescents, and young adults with ABI.

Methods: This cross-sectional study included young patients admitted to outpatient rehabilitation and their parents. To determine fatigue, the PedsQLâ„¢Multidimensional-Fatigue-Scale was used (MFS, scores 0-100, lower scores = higher fatigue, patient-/parent-reported). Based on scores from a reference population, four categories were formed: "1 = no/little fatigued" to "4 = severely-more fatigued."

Results: All scores were lower than those from the reference population, with comparisons in the adolescent and young adult groups reaching statistical significance (p < .05). The proportions of patients in category 4 were: 9%/50%/58% among children/adolescents/young adults, showing that many patients were "severely-more fatigued"-than the reference population.

Conclusions: Measuring fatigue and categorizing fatigue severity looks promising for clinical practice and could help to better target fatigue.

Keywords: Fatigue; HRQoL; Pediatric; rehabilitation; young patients.

MeSH terms

  • Adolescent
  • Brain Injuries* / complications
  • Child
  • Cross-Sectional Studies
  • Fatigue*
  • Humans
  • Outpatients
  • Parents
  • Quality of Life
  • Young Adult