[The Significance of Chronic Fatigue in the Post-Covid Consultation and its Consequences for Outpatient Rehabilitation in the Context of Statutory Accident Insurance].

Observed Findings

• 98.2% of patients reported fatigue as a cardinal symptom; over 73% reported cognitive impairment concurrent with fatigue
• Over 85% of the sample met criteria for chronic fatigue on the Fatigue Scale
• Fatigue severity was proportionally associated with reduced quality of life, increased anxiety and depression, reduced psychological resilience, and diminished grip strength and aerobic capacity
• 54.3% of patients received suspected psychiatric diagnoses; 38.1% were referred for neuropsychological evaluation
• Symptoms persisted for an average of 14–15 months in both female and male patients

Inferred Conclusions

• Post-COVID chronic fatigue should be managed using a multimodal, interdisciplinary approach aligned with ME/CFS treatment principles, emphasizing psychoeducation and coping strategies rather than curative therapy
• Fatigue severity is a primary driver of functional impairment across multiple biopsychosocial domains (mental health, cognition, physical capacity)
• Concurrent psychiatric and neuropsychological comorbidities require integrated assessment and targeted treatment alongside fatigue management
• Long-term aftercare strategies are essential for post-COVID patients with chronic fatigue

Remaining Questions