800 Section - Post-stroke Fatigue as a Predictor of Workforce Reintegration: Four-year Follow-up Findings

Wednesday, May 20, 2026

6:00 PM - 7:30 PM PT

Presenting Author/Autor expositor(s)

RE

Ryme El Beloui, n/a

PR
Department of Physical Medicine and Rehabilitation, Ibn Rochd University Hospital, Casablanca, Morocco
casablanca maarif, Grand Casablanca, Morocco

Co-Author/Coautor(s)

HB

Hasnaa Boutalja, MD

Resident
CHU Ibn Rochd
casablanca maarif, Grand Casablanca, Morocco
NK

Nada Kyal, n/a

PR
Department of Physical Medicine and Rehabilitation, Ibn Rochd University Hospital, Casablanca, Morocco
casablanca maarif, Grand Casablanca, Morocco
FL

Fatima LMIDMANI, MD

Full Professor of PRM
Faculty of Medicine and Pharmacy of Casablanca. Hassan II University of Casablanca
casablanca, Morocco, Grand Casablanca, Morocco
AE

Abdellatif EL FATIMI, PhD

PR
Department of Physical Medicine and Rehabilitation, Ibn Rochd University Hospital, Casablanca, Morocco
casablanca, Grand Casablanca, Morocco

Objectives : Although post-stroke fatigue can impede the ability to return to work, quantitative research remains limited. This long-term cohort study aimed to determine whether fatigue is independently associated with the likelihood of resuming paid employment.

Design: The study included 95 first-time stroke patients under 65 years of age who were employed full-time at baseline. Participants were recruited from the neurology department of IBN ROCHD University Hospital between 2018 and 2020 and followed for four years. Fatigue was assessed using the Multidimensional Fatigue Inventory, with pathological fatigue defined as a General Fatigue score of ≥12. Return to paid employment was defined as working at least 10 hours per week. Data were analyzed using multivariable logistic regression.

Results: After four years, 60% of participants had returned to paid employment. The adjusted Odds Ratio (OR) for work resumption was 0.37 (95% confidence interval [CI] 0.15–1.05) for individuals with a baseline General Fatigue score of ≥12. Persistent pathological fatigue at four-year follow-up was associated with a reduced likelihood of returning to paid work [adjusted OR 0.31, 95% CI 0.12–0.78]. Higher General Fatigue scores at follow-up were also negatively related to employment, with each one-point increase corresponding to an adjusted OR of 0.86 (95% CI 0.79–0.93).

Conclusion: Post-stroke fatigue appears to be an independent factor influencing the inability to return to paid employment after a stroke.