Post-viral fatigue in COVID-19: A review of symptom assessment methods, mental, cognitive, and physical impairment

COVID-19 病毒感染后疲劳:症状评估方法、精神、认知和身体障碍的回顾

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作者:Maria Cristine Campos, Tatyana Nery, Ana Carolina Starke, Ana Cristina de Bem Alves, Ana Elisa Speck, Aderbal S Aguiar

Abstract

Coronavirus 2 is responsible for Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2), and the main sequela is persistent fatigue. Post-viral fatigue is common and affects patients with mild, asymptomatic coronavirus disease-2019 (COVID-19). However, the exact mechanisms involved in developing post-COVID-19 fatigue remain unclear. Furthermore, physical and cognitive impairments in these individuals have been widely described. Therefore, this review aims to summarize and propose tools from a multifaceted perspective to assess COVID-19 infection. Herein, we point out the instruments that can be used to assess fatigue in long-term COVID-19: fatigue in a subjective manner or fatigability in an objective manner. For physical and mental fatigue, structured questionnaires were used to assess perceived symptoms, and physical and cognitive performance assessment tests were used to measure fatigability using reduced performance.

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