Subjective reports of fatigue during early recovery from traumatic brain injury.
OBJECTIVE
To determine whether patients with traumatic brain injury (TBI) report higher levels of fatigue than do normal controls and to identify demographic and cognitive correlates of self-reported fatigue.


METHODS
Prospective study.


METHODS
Inpatient neurorehabilitation unit in a medical center and neurological institute.


METHODS
Forty-seven neurorehabilitation inpatients with TBI.


METHODS
Barrow Neurological Institute (BNI) Fatigue Scale and BNI Screen for Higher Cerebral Functions.


RESULTS
Patients reported significantly greater levels of fatigue compared to the levels reported by normal controls, although fatigue was found to be unrelated to injury severity, number of days from injury to assessment, cognitive impairment, and gender. Inspection of individual items revealed no significant differences between severe versus moderate versus mild TBI groups. However, being able to last the day without taking a nap (ie, item 10) was found to be the most sensitive item associated with fatigue in the TBI group.


CONCLUSIONS
Results of this study suggest the need to integrate activities and interventions to increase endurance in patients with TBI during early rehabilitation. Accommodating regular rest breaks and increasing restful sleep should be a focus of inpatient neurorehabilitation units.
Borgaro
Susan R
SR
Division of Neurology, Barrow Neurological Institute, St Joseph's Hospital and Medical Center, Phoenix, Ariz 85013, USA. sborgar@cbw.edu
Baker
Jason
J
Wethe
Jennifer V
JV
Prigatano
George P
GP
Kwasnica
Christina
C
D000328:Adult; D017677:Age Distribution; D001930:Brain Injuries / Q000175:diagnosis / Q000453:epidemiology* / Q000534:rehabilitation*; D016022:Case-Control Studies; D015897:Comorbidity; D005221:Fatigue / Q000175:diagnosis* / Q000453:epidemiology*; D005260:Female; D005500:Follow-Up Studies; D015600:Glasgow Coma Scale; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010358:Patient Participation; D011446:Prospective Studies; D012016:Reference Values; D012047:Rehabilitation Centers; D018570:Risk Assessment; D017678:Sex Distribution; D013997:Time Factors