open access publication

Article, 2024

Fatigue predicts quality of life after leucine‐rich glioma‐inactivated 1‐antibody encephalitis

Annals of Clinical and Translational Neurology, ISSN 2328-9503, Volume 11, 4, Pages 1053-1058, 10.1002/acn3.52006

Contributors

Binks, Sophie N M 0000-0003-0991-5998 [1] [2] Veldsman, Michele 0000-0003-2192-378X [1] Handel, Adam E 0000-0001-8385-6346 [1] [2] Jacob, Saiju 0000-0003-0037-454X [3] Maddison, Paul [4] Coebergh, Jan Adriaan F 0000-0002-2419-3930 [5] Michael, Sophia [1] [3] Ramanathan, Sudarshini 0000-0002-0294-9768 [1] [6] [7] Easton, Ava 0000-0002-1739-2915 [8] [9] Nissen, Mette Scheller 0000-0002-3512-3479 [10] [11] Leite, Maria Isabel Silva 0000-0002-4277-9855 [1] [2] Okai, David 0000-0002-0298-2031 [12] Blaabjerg, Morten 0000-0001-6007-1861 [10] [11] Husain, Masud 0000-0002-6850-9255 [1] Irani, Sarosh R 0000-0002-7667-9748 (Corresponding author) [1] [2] [13]

Affiliations

  1. [1] University of Oxford
  2. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  3. [2] Oxford University Hospitals NHS Trust
  4. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  5. [3] Queen Elizabeth Hospital Birmingham
  6. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  7. [4] Queen's Medical Centre
  8. [NORA names: United Kingdom; Europe, Non-EU; OECD];
  9. [5] St Peter's Hospital
  10. [NORA names: United Kingdom; Europe, Non-EU; OECD];

Abstract

Patient-reported quality-of-life (QoL) and carer impacts are not reported after leucine-rich glioma-inactivated 1-antibody encephalitis (LGI1-Ab-E). From 60 patients, 85% (51 out of 60) showed one abnormal score across QoL assessments and 11 multimodal validated questionnaires. Compared to the premorbid state, QoL significantly deteriorated (p < 0.001) and, at a median of 41 months, fatigue was its most important predictor (p = 0.025). In total, 51% (26 out of 51) of carers reported significant burden. An abbreviated five-item battery explained most variance in QoL. Wide-ranging impacts post-LGI1-Ab-E include decreased QoL and high caregiver strain. We identify a rapid method to capture QoL in routine clinic or clinical trial settings.

Keywords

LGI1-Ab, QoL, QoL assessment, QoL., abnormal scores, assessment, burden, caregiver strain, carer impact, carers, clinic, clinical trial setting, decreased QoL, encephalitis, fatigue, higher caregiver strain, impact, leucine-rich glioma-inactivated 1 antibody encephalitis, life, median, method, months, patient-reported quality-of-life, patients, predictors, premorbid state, quality, quality of life, quality-of-life, questionnaire, scores, sets, significant burden, state, strain, trial setting, variance

Funders

  • Department of Health and Social Care
  • National Health and Medical Research Council
  • Encephalitis Society
  • Pfizer (United Kingdom)
  • Multiple Sclerosis Society
  • National Institute for Health and Care Research
  • Epilepsy Research UK
  • Medical Research Council
  • Wellcome Trust
  • British Medical Association

Data Provider: Digital Science