Persistence of Fatigue among COVID-19 Survivors in Bangladesh: A Two-month after Follow-up Study

Authors

  • Md Khairul Islam Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh``
  • Mohammad Murad Hossain Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Md Monowar Hossain Department of General Medicine, Mount Gambier Hospital, South Australia
  • Md Mohiuddin Sharif Department of Medicine, Dhaka Medical College Hospital, Dhaka, Bangladesh
  • Fahima Sharmin Hossain Medical Officer, NIMH
  • Md Robed Amin Director and Professor of Medicine, Non-Communicable Disease Control, DGHS, Mohakhali, Dhaka, Bangladesh
  • Md Ridwanur Rahman Head and Professor of Medicine, Universal Medical College Research Center, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjm.v33i1.56791

Keywords:

COVID-19, SARS-CoV-2, fatigue, Bangladesh, post-COVID

Abstract

Background: A limited number of studies have exclusively assessed fatigue among post-COVID patients. Our study aimed to assess the persistence and associations of fatigue among COVID-19 survivors after two months of recovery from their primary illness.

Methods: During hospital admission from August to September, 2020, a total of 400 patients were diagnosed to be suffering from fatigue using Chalder fatigue scale. After obtaining informed written consent, patients were followed up two months later over telephone. A total of 332 participants participated in the interview (63 patients could not be traced and another 5 patient died within two months). Patients were asked to categorize their present fatigue condition based on a simplified questionnaire developed for telephone interview.

Results: Among study participants, 62.9% (n=207) were found to be still suffering from fatigue two months after their hospital discharge. A significant association of fatigue was found with age (p=0.000), hypertension (RR: 1.51; CI: 1.15-1.99; p=0.002), diabetes mellitus (RR: 1.45; CI: 1.08-1.95; p=0.010), ischemic heart disease (RR: 2.04; CI: 1.15-3.64; p=0.011), on admission SpO2 (p=0.000), on admission serum ferritin (p=0.000), d-dimer (p=0.000), CRP (p=0.000), and Hb% (p=0.019). Binary logistic regression model revealed significant association of age and onadmission SpO2 with persistence of fatigue.

Conclusions: Fatigue is a highly prevalent symptom among the COVID-19 survivors with significant association between fatigue and patients clinical and laboratory markers. Bangladesh J Medicine July 2022; 33(1) : 57-63

Downloads

Download data is not yet available.
Abstract
85
PDF
63

Downloads

Published

2021-12-06

How to Cite

Islam, M. K. ., Hossain, M. M. ., Hossain, M. M. ., Sharif, M. M. ., Hossain, F. S., Amin, M. R. ., & Rahman, M. R. (2021). Persistence of Fatigue among COVID-19 Survivors in Bangladesh: A Two-month after Follow-up Study. Bangladesh Journal of Medicine, 33(1), 57–63. https://doi.org/10.3329/bjm.v33i1.56791

Issue

Section

Original Articles