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Daily life consequences, cognitive impairment, and fatigue after transient ischemic attack
E Kjörk1,2, C Blomstrand2, G Carlsson2
1Sahlgrenska University Hospital, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Acta Neurologica Scandinavica
|May 9, 2015
Summary
A third of patients experience daily life and communication issues after a transient ischemic attack (TIA). Cognitive impairment and mental fatigue may contribute to these persistent challenges, highlighting the need for TIA follow-up support.
Area of Science:
- Neurology
- Neuropsychology
- Rehabilitation Medicine
Background:
- Transient ischemic attack (TIA) can lead to persistent neurological deficits.
- Fatigue and cognitive impairment are potential post-TIA sequelae, impacting daily functioning.
- Limited understanding exists regarding the long-term, real-world consequences of TIA.
Purpose of the Study:
- To longitudinally investigate fatigue, cognitive impairment, and daily life consequences, including communication, after TIA.
- To assess these issues at 1 and 9 months post-event.
- To explore the relationship between TIA and experienced changes in daily life.
Main Methods:
- A cohort of 46 TIA patients was assessed at hospital discharge, 1 month, and 9 months post-TIA.
- Assessments included cognitive function, mental fatigue, tiredness, and activities of daily living.
- Semi-structured interviews explored experienced changes related to the TIA.
Main Results:
- 37% of participants reported daily life problems associated with TIA at 9 months.
- Cognitive impairment was observed in 40% at 1 month and 30% at 9 months.
- Mental fatigue affected 26% at 1 month and 17% at 9 months, with increasing communication problems.
Conclusions:
- Approximately one-third of TIA patients face challenges in complex daily activities and communication within 9 months.
- Cognitive impairment and mental fatigue may be key factors affecting daily and work performance.
- Activity limitations underscore the necessity for multidisciplinary TIA follow-up care and structured routines.
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