The Clinical Correlations of Fatigue in Patients with Sarcoidosis

Year 2022, Volume: 14 Issue: 3, 497 - 502, 20.10.2022

Pınar Yıldız Gülhan , Ege Güleç Balbay , Merve Erçelik , Ali Annakkaya , Peri Arbak , Özlem Özdemir Kumbasar

https://doi.org/10.18521/ktd.1084080

Abstract

Objective: Fatigue is considered a frequent and characteristic feature of sarcoidosis. This
study was designed to determine the prevalence of fatigue in patients with sarcoidosis and
to determine its potential clinical correlations in relation to symptom severity.
Methods: A total of 56 sarcoidosis patients were included. Data on patient demographics,
anthropometrics, disease characteristics, pulmonary function tests, 6-min walking distance
(6MWD), blood biochemistry and hemogram findings were retrieved from hospital records.
Psychometric instruments involved the fatigue assessment scale (FAS), Beck Depression
Inventory (BDI) and Short Form-36 (SF-36) for health-related QOL (HRQOL).
Results: Mean±SD patient age was 50.9±11.9 years. Of 56 patients, 44 were females and
12 were males. When compared to FAS score <22 and FAS score ≥22-34 subgroups, FAS
score ≥35 (severe fatigue) subgroup was associated with significantly higher patient age
and significantly lower SF-36 physical health scores. Total FAS scores were correlated
positively with age (r=0.349, p=0.008) and BDI scores (r=0.515, p<0.001), while
negatively with MIP (r=-0.321, p=0.019) and SF-36 physical health (r=-0.402, p=0.003)
and mental health (r=-0.351, p=0.009) scores. BDI score (OR 1.146, 95% CI: 1.020 to
1.288, p=0.021) was determined to be the single independent predictor of the increased
likelihood of a patient with sarcoidosis having FAS score ≥22.
Conclusions: Our findings emphasize that deterioration in respiratory functions may
contribute to the development of fatigue among sarcoidosis patients, and besides the fatigue,
depressive symptoms and anxiety should also be an integral part of the multidisciplinary
management of sarcoidosis patients.

Keywords

Fatigue Assessment Scale (FAS), fatique, health quality, sarcoidosis

Sarkoidoz Hastalarında Yorgunluğu Etkileyen Klinik Etkenler

Abstract

Amaç: Yorgunluk, sarkoidozun sık ve karakteristik bir özelliği olarak kabul edilir. Bu
çalışma, sarkoidozlu hastalarda yorgunluk prevalansını belirlemek ve semptom şiddeti ile
ilişkili potansiyel klinik korelasyonlarını belirlemek için tasarlanmıştır.
Gereç ve Yöntem: Toplam 56 sarkoidoz hastası dahil edildi. Hastane kayıtlarından hasta
demografisi, antropometri, hastalık özellikleri, solunum fonksiyon testleri, 6 dakikalık
yürüme mesafesi (6DYM), kan biyokimyası ve hemogram bulgularına ilişkin veriler elde
edildi. Psikometrik araçlar, sağlıkla ilgili yaşam kalitesi (HRQOL) için yorgunluk
değerlendirme ölçeği (FAS), Beck Depresyon Ölçeği (BDÖ) ve Kısa Form-36 (SF-36)
kullanıldı.
Bulgular: Ortalama ± SS hasta yaşı 50.9 ± 11.9 yıldı. 56 hastanın 44'ü kadın, 12'si erkekti.
FAS skoru <22 ve FAS skoru ≥22-34 alt grupları ile karşılaştırıldığında, FAS skoru ≥35
(şiddetli yorgunluk) alt grubu, daha yüksek hasta yaşı (p = 0.037) ve anlamlı olarak daha
düşük SF-36 fiziksel sağlık skorları (p = 0.029 ) ile anlamlı bulundu. Toplam FAS skorları
yaş (r = 0.349, p = 0.008) ve BDÖ skorları (r = 0.515, p <0.001) ile pozitif korelasyon
gösteriyor iken; MIP (r = -0.321, p = 0.019) ve SF-36 fiziksel sağlık (r = -0.402, p = 0.003)
ve mental sağlık(r = -0.351, p = 0.009) puanları sağlık ile negatif korelasyon gösteriyordu.
BDÖ skorunun (OR 1.146,% 95 CI: 1.020 - 1.288, p = 0.021), sarkoidoz hastalarının FAS
skorunun ≥22 olması olasılığının artmasının tek bağımsız prediktörü olduğu belirlendi.
Sonuç: Bulgularımız, solunum fonksiyonlarındaki bozulmanın sarkoidoz hastalarında
yorgunluğun gelişimine katkıda bulunabileceğini ve yorgunluğun yanı sıra depresif
belirtiler ve anksiyetenin sarkoidoz hastalarının multidisipliner yönetiminin ayrılmaz bir
parçası olması gerektiğini vurgulamaktadır.

Keywords

Sarkoidoz, Yorgunluk değerlendirme ölçeği (YDÖ), yorgunluk, yaşam kalitesi

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