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Emerg Infect Dis . Estimates of Incidence and Predictors of Fatiguing Illness after SARS-CoV-2 Infection

tetano

Editor, Senior Moderator
Emerg Infect Dis


. 2024 Mar;30(3):539-547.
doi: 10.3201/eid3003.231194.
Estimates of Incidence and Predictors of Fatiguing Illness after SARS-CoV-2 Infection

Quan M Vu, Annette L Fitzpatrick, Jennifer R Cope, Jeanne Bertolli, Nona Sotoodehnia, T Eoin West, Nikki Gentile, Elizabeth R Unger
Abstract

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.

Keywords: COVID-19; ME/CFS; PASC; PCC; SARS-CoV-2; coronavirus disease 2019; fatigue; incidence; myalgic encephalomyelitis/chronic fatigue syndrome; post COVID-19 conditions; post-acute sequelae of SARS-CoV-2 infection; respiratory infections; severe acute respiratory syndrome coronavirus 2; viruses; zoonoses.

 
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