Estimates of Incidence and Predictors of Fatiguing Illness after SARS-CoV-2 Infection

This study aimed to estimate the incidence rates of post-COVID-19 fatigue and chronic fatigue and to quantify the additional incident fatigue caused by COVID-19. We analyzed electronic health records data of 4,589 patients with confirmed COVID-19 during February 2020-February 2021 who were followed...

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Bibliographic Details
Published in:Emerging infectious diseases 2024-03, Vol.30 (3), p.539-547
Main Authors: Vu, Quan M, Fitzpatrick, Annette L, Cope, Jennifer R, Bertolli, Jeanne, Sotoodehnia, Nona, West, T Eoin, Gentile, Nikki, Unger, Elizabeth R
Format: Article
Language:English
Subjects:
Chronic fatigue syndrome
Codes
Comparative analysis
coronavirus disease 2019
COVID-19
COVID-19 - epidemiology
Disease control
Electronic health records
Estimates of Incidence and Predictors of Fatiguing Illness after SARS-CoV-2 Infection
Fatigue
Fatigue Syndrome, Chronic
Health aspects
Hospital patients
Humans
Incidence
Infections
Medical records
Muscle Fatigue
Patients
Public health
respiratory infections
Risk factors
SARS-CoV-2
Severe acute respiratory syndrome coronavirus 2
Statistics
viruses
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Summary:This study aimed to estimate the incidence rates of post-COVID-19 fatigue and chronic fatigue and to quantify the additional incident fatigue caused by COVID-19. We analyzed electronic health records data of 4,589 patients with confirmed COVID-19 during February 2020-February 2021 who were followed for a median of 11.4 (interquartile range 7.8-15.5) months and compared them to data from 9,022 propensity score-matched non-COVID-19 controls. Among COVID-19 patients (15% hospitalized for acute COVID-19), the incidence rate of fatigue was 10.2/100 person-years and the rate of chronic fatigue was 1.8/100 person-years. Compared with non-COVID-19 controls, the hazard ratios were 1.68 (95% CI 1.48-1.92) for fatigue and 4.32 (95% CI 2.90-6.43) for chronic fatigue. The observed association between COVID-19 and the significant increase in the incidence of fatigue and chronic fatigue reinforces the need for public health actions to prevent SARS-CoV-2 infections.
ISSN:1080-6040
1080-6059
DOI:10.3201/eid3003.231194