Fatigue in a cohort of geriatric patients with and without Parkinson's disease

Fatigue in a cohort of geriatric patients with and without Parkinson's disease

Autor Goulart, F.o. Autor UNIFESP Google Scholar
Godke, B.a. Autor UNIFESP Google Scholar
Borges, V. Autor UNIFESP Google Scholar
Azevedo-silva, S.m.c. Autor UNIFESP Google Scholar
Mendes, M.f. Google Scholar
Cendoroglo, Maysa Seabra Autor UNIFESP Google Scholar
Ferraz, H.b. Autor UNIFESP Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Irmandade da Santa Casa de São Paulo Disciplina de Neurologia
Resumo We evaluated the frequency of fatigue in geriatric patients with and without Parkinson's disease (PD) and correlated it with depression and excessive daytime sleepiness. We evaluated 100 patients from Hospital São Paulo, 50 with PD from the Neurologic Outpatient Clinic and 50 with non-neurologic diseases or oncologic diseases from the Geriatric Outpatient Clinic (controls). All patients who scored 28 or more on the Fatigue Severity Scale (FSS) were considered to have fatigue. Also, all patients were submitted to a structured interview to diagnose depression by the criteria of the American Psychiatric Association (DSM-IV, 4th version) and were evaluated by the Modified Impact of Fatigue Scale and the Epworth Sleepiness Scale (ESE) to detect excessive daytime sleepiness. Demographic and disease details of all PD patients were recorded and the patients were examined and rated by the Unified Parkinson's Disease Rating Sale (UPDRS) and Hoehn-Yahr staging. Frequency of fatigue (FSS ≥28) was 70% for PD and 22% for controls. Twenty of 35 PD patients with fatigue had concomitant depression. Compared to controls, PD patients were found more frequently to have depression by DSM-IV criteria (44 vs 8%, respectively) and excessive daytime sleepiness by the ESE (44 vs 16%), although only depression was associated with fatigue. Fatigue was more frequent among depressed PD and control patients and was not correlated with PD duration or with UPDRS motor scores. ESE scores did not differ between patients with or without fatigue.
Palavra-chave Parkinson's disease
Fatigue
Depression
Excessive daytime sleepiness
Idioma Inglês
Data de publicação 2009-08-01
Publicado em Brazilian Journal of Medical and Biological Research. Associação Brasileira de Divulgação Científica, v. 42, n. 8, p. 771-775, 2009.
ISSN 0100-879X (Sherpa/Romeo, fator de impacto)
Publicador Associação Brasileira de Divulgação Científica
Extensão 771-775
Fonte http://dx.doi.org/10.1590/S0100-879X2009000800014
Direito de acesso Acesso aberto Open Access
Tipo Artigo
Web of Science WOS:000269123000014
SciELO S0100-879X2009000800014 (estatísticas na SciELO)
Endereço permanente http://repositorio.unifesp.br/handle/11600/5162

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