Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 Patients

Background: Although smell and taste disorders are highly prevalent symptoms of COVID-19 infection, the predictive factors leading to long-lasting chemosensory dysfunction are still poorly understood. Methods: 102 out of 421 (24.2%) mildly symptomatic COVID-19 patients completed a second questionnai...

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Main Authors: María A. Callejón-Leblic, Daniel I. Martín-Jiménez, Ramón Moreno-Luna, Jose M. Palacios-Garcia, Marta Alvarez-Cendrero, Julissa A. Vizcarra-Melgar, Carlos Fernandez-Velez, Isabel M. Reyes-Tejero, Juan Maza-Solano, Jaime Gonzalez-Garcia, Beatriz Tena-García, María E. Acosta-Mosquera, Alfonso Del Cuvillo, Serafín Sánchez-Gómez
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/12/8/1256
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author María A. Callejón-Leblic
Daniel I. Martín-Jiménez
Ramón Moreno-Luna
Jose M. Palacios-Garcia
Marta Alvarez-Cendrero
Julissa A. Vizcarra-Melgar
Carlos Fernandez-Velez
Isabel M. Reyes-Tejero
Juan Maza-Solano
Jaime Gonzalez-Garcia
Beatriz Tena-García
María E. Acosta-Mosquera
Alfonso Del Cuvillo
Serafín Sánchez-Gómez
author_facet María A. Callejón-Leblic
Daniel I. Martín-Jiménez
Ramón Moreno-Luna
Jose M. Palacios-Garcia
Marta Alvarez-Cendrero
Julissa A. Vizcarra-Melgar
Carlos Fernandez-Velez
Isabel M. Reyes-Tejero
Juan Maza-Solano
Jaime Gonzalez-Garcia
Beatriz Tena-García
María E. Acosta-Mosquera
Alfonso Del Cuvillo
Serafín Sánchez-Gómez
author_sort María A. Callejón-Leblic
collection DOAJ
description Background: Although smell and taste disorders are highly prevalent symptoms of COVID-19 infection, the predictive factors leading to long-lasting chemosensory dysfunction are still poorly understood. Methods: 102 out of 421 (24.2%) mildly symptomatic COVID-19 patients completed a second questionnaire about the evolution of their symptoms one year after the infection using visual analog scales (VAS). A subgroup of 69 patients also underwent psychophysical evaluation of olfactory function through UPSIT. Results: The prevalence of chemosensory dysfunction decreased from 82.4% to 45.1% after 12 months, with 46.1% of patients reporting a complete recovery. Patients older than 40 years (OR = 0.20; 95% CI: [0.07, 0.56]) and with a duration of loss of smell longer than four weeks saw a lower odds ratio for recovery (OR = 0.27; 95% CI: [0.10, 0.76]). In addition, 28 patients (35.9%) reported suffering from parosmia, which was associated with moderate to severe taste dysfunction at the baseline (OR = 7.80; 95% CI: [1.70, 35.8]). Among the 69 subjects who underwent the UPSIT, 57 (82.6%) presented some degree of smell dysfunction, showing a moderate correlation with self-reported VAS (<i>r</i> = −0.36, <i>p</i> = 0.0027). Conclusion: A clinically relevant number of subjects reported persistent chemosensory dysfunction and parosmia one year after COVID-19 infection, with a moderate correlation with psychophysical olfactory tests.
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spelling doaj.art-b8af26241a4a4d36a45b75ac549c74ad2023-12-01T23:54:46ZengMDPI AGLife2075-17292022-08-01128125610.3390/life12081256Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 PatientsMaría A. Callejón-Leblic0Daniel I. Martín-Jiménez1Ramón Moreno-Luna2Jose M. Palacios-Garcia3Marta Alvarez-Cendrero4Julissa A. Vizcarra-Melgar5Carlos Fernandez-Velez6Isabel M. Reyes-Tejero7Juan Maza-Solano8Jaime Gonzalez-Garcia9Beatriz Tena-García10María E. Acosta-Mosquera11Alfonso Del Cuvillo12Serafín Sánchez-Gómez13Rhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Virgen de Valme University Hospital, 41014 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainRhinology and Asthma Unit, ENT Department, The University Hospital of Jerez, 11407 Jerez de la Frontera, SpainRhinology Unit, Department of Otolaryngology, Head and Neck Surgery, Virgen Macarena University Hospital, 41009 Seville, SpainBackground: Although smell and taste disorders are highly prevalent symptoms of COVID-19 infection, the predictive factors leading to long-lasting chemosensory dysfunction are still poorly understood. Methods: 102 out of 421 (24.2%) mildly symptomatic COVID-19 patients completed a second questionnaire about the evolution of their symptoms one year after the infection using visual analog scales (VAS). A subgroup of 69 patients also underwent psychophysical evaluation of olfactory function through UPSIT. Results: The prevalence of chemosensory dysfunction decreased from 82.4% to 45.1% after 12 months, with 46.1% of patients reporting a complete recovery. Patients older than 40 years (OR = 0.20; 95% CI: [0.07, 0.56]) and with a duration of loss of smell longer than four weeks saw a lower odds ratio for recovery (OR = 0.27; 95% CI: [0.10, 0.76]). In addition, 28 patients (35.9%) reported suffering from parosmia, which was associated with moderate to severe taste dysfunction at the baseline (OR = 7.80; 95% CI: [1.70, 35.8]). Among the 69 subjects who underwent the UPSIT, 57 (82.6%) presented some degree of smell dysfunction, showing a moderate correlation with self-reported VAS (<i>r</i> = −0.36, <i>p</i> = 0.0027). Conclusion: A clinically relevant number of subjects reported persistent chemosensory dysfunction and parosmia one year after COVID-19 infection, with a moderate correlation with psychophysical olfactory tests.https://www.mdpi.com/2075-1729/12/8/1256olfactory disordersCOVID-19prediction modelanosmiaparosmiasmell disorders
spellingShingle María A. Callejón-Leblic
Daniel I. Martín-Jiménez
Ramón Moreno-Luna
Jose M. Palacios-Garcia
Marta Alvarez-Cendrero
Julissa A. Vizcarra-Melgar
Carlos Fernandez-Velez
Isabel M. Reyes-Tejero
Juan Maza-Solano
Jaime Gonzalez-Garcia
Beatriz Tena-García
María E. Acosta-Mosquera
Alfonso Del Cuvillo
Serafín Sánchez-Gómez
Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 Patients
Life
olfactory disorders
COVID-19
prediction model
anosmia
parosmia
smell disorders
title Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 Patients
title_full Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 Patients
title_fullStr Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 Patients
title_full_unstemmed Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 Patients
title_short Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 Patients
title_sort analysis of prevalence and predictive factors of long lasting olfactory and gustatory dysfunction in covid 19 patients
topic olfactory disorders
COVID-19
prediction model
anosmia
parosmia
smell disorders
url https://www.mdpi.com/2075-1729/12/8/1256
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