Evidence map›Paper›PMID 41464314›Full record

ArticleHealthcare (Basel, Switzerland)2025

Prevalence and Associated Factors of Chronic Fatigue Among Healthcare Professionals: A Cross-Sectional Study at a University Hospital in North Africa.

Rim Ghammam, Ismail Dergaa, Sihem Ben Fredj, Nawel Zammit, Rim Akrimi, Halil İbrahim Ceylan, Valentina Stefanica, Bassem Charfeddine, Imed Harrabi, Jihene Maatoug and 1 more

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Rim GhammamDepartment of Preventive and Community Medicine, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Ismail DergaaHigher Institute of Sport and Physical Education of Ksar Said, University of Manouba, Manouba 2010, Tunisia.ORCID 0000-0001-8091-1856
Sihem Ben FredjDepartment of Preventive and Community Medicine, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Nawel ZammitDepartment of Preventive and Community Medicine, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Rim AkrimiFaculty of Medicine of Sousse, University of Sousse, Sousse 4002, Tunisia.
Halil İbrahim CeylanPhysical Education and Sports Teaching Department, Faculty of Sports Sciences, Atatürk University, 25240 Erzurum, Türkiye.ORCID 0009-0005-2214-4667
Valentina StefanicaDepartment of Physical Education and Sport, Faculty of Sciences, Physical Education and Informatics, National University of Science and Technology Politehnica Bucharest, Pitești University Center, 060042 Pitești, Romania.ORCID 0000-0003-4031-1412
Bassem CharfeddineFaculty of Medicine of Sousse, University of Sousse, Sousse 4002, Tunisia.
Imed HarrabiDepartment of Preventive and Community Medicine, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Jihene MaatougDepartment of Preventive and Community Medicine, Farhat Hached University Hospital, Sousse 4000, Tunisia.
Houda KalboussiFaculty of Medicine of Sousse, University of Sousse, Sousse 4002, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic fatigue constitutes a critical occupational health challenge among healthcare workers with substantial implications for individual well-being and patient safety. Empirical evidence regarding chronic fatigue among healthcare professionals in North Africa remains limited, particularly in contexts where healthcare systems contend with resource constraints and elevated workload demands.

objectiveThis study aimed to determine the prevalence of chronic fatigue and chronic fatigue syndrome (myalgic encephalomyelitis (CFS/ME)) among healthcare professionals without severe chronic diseases at a university hospital in Tunisia and identify independent associations of chronic fatigue.

methodsWe conducted a cross-sectional analysis of 205 healthcare professionals at University Hospital Farhat Hached, Sousse, Tunisia, from October to December 2021. Data were collected using a pre-test questionnaire to collect data about sociodemographic characteristics, chronic fatigue, quality of life, and lifestyle habits. A vitamin D3 test was also performed, as it is identified as an associated factor and potential biological modulator of chronic fatigue.

resultsChronic fatigue prevalence was 37.1%, with chronic fatigue syndrome (myalgic encephalomyelitis (CFS/ME)) prevalence of 11.2%. Multivariate analysis revealed good physical health-related quality of life (adjusted Odds Ratio (OR) = 0.08,

conclusionsChronic fatigue affects more than one-third of healthcare professionals in this resource-limited setting. Comprehensive occupational health interventions addressing psychological and metabolic health factors are needed to protect healthcare workers' well-being and maintain the quality of care delivery.

Indexed as

chronic fatiguechronic fatigue syndromedepressionhealthcare workersNorth Africaobesityoccupational healthquality of lifeTunisia

Identifiers

PMID41464314
PMCPMC12732907

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.