Academic Journal

Gustatory and olfactory dysfunctions in hospitalised patients with COVID-19 pneumonia: a prospective study

التفاصيل البيبلوغرافية
العنوان: Gustatory and olfactory dysfunctions in hospitalised patients with COVID-19 pneumonia: a prospective study
المؤلفون: Felipe García, Ana González Cordón, Pedro Puerta-Alcalde, Celia Cardozo, Carolina Garcia-Vidal, Marta Bodro, Isam Alobid, Juan Ambrosioni, Jhon Rojas, Alexy Inciarte, Berta Torres, Alex Soriano, José Antonio Martínez, Josep Mensa, Marta Hernández-Meneses, Laura Morata, Mariana Chumbita, Pau Alcubilla, Veronica Rico, Daiana Aguero, Nicole García-Pouton, Laia Albiach, Fernanda Meira, Lorena De la Mora, laura Linares, Irene Macaya, Montse Laguno, Angela Ramos, Estela Moreno-García, Antonio Moreno, Montse Sola, Lorna Leal, Manuel Torres
المصدر: BMJ Open, Vol 11, Iss 8 (2021)
بيانات النشر: BMJ Publishing Group, 2021.
سنة النشر: 2021
المجموعة: LCC:Medicine
مصطلحات موضوعية: Medicine
الوصف: Importance Identifying undetected clinical signs is imperative in the prevention of SARS-CoV-2.Objective To establish the prevalence of clinical gustatory and olfactory dysfunctions in patients with COVID-19 pneumonia. Clinical outcomes and recovery rates associated with gustatory and olfactory dysfunctions were also assessed.Design A prospective study was performed in 80 patients admitted to Hospital Clínic of Barcelona (Spain) for COVID-19 pneumonia. Patients were re-evaluated in the ward daily until discharge. Gustatory and olfactory dysfunction symptoms were retrospectively collected from emergency room (ER) charts after first assessments. Follow-up was performed in telemedicine consultation.Setting The single-centre study was performed in a hospitalisation ward at a university hospital.Participants Consecutive patients meeting hospitalisation criteria for COVID-19 pneumonia were eligible. Study exclusion criteria were patients who could not speak, had previous gustatory and olfactory dysfunctions or whose PCR tests for SARS-CoV-19 were negative.Interventions Systematic assessment of gustatory and olfactory symptoms with standardised questions.Outcome(s) Prevalence of gustatory and olfactory dysfunctions in patients with COVID-19 pneumonia.Results Of the 80 study subjects, 62.5% were male and the median age was 57 years. Half of the cohort (n=40) presented with comorbidities. The prevalence of chemosensitive disorder was 73.8% (n=59) (95% CI: 63.8 to 83.8), although self-reported symptoms were recorded in only 26.3% (n=21) of patients in the ER. Gustatory and olfactory dysfunctions were observed in 58.8% (n=47) and 55% (n=44) of cases, respectively. They were also the first symptoms in 25% (n=20) of patients. Anosmia was associated with ageusia, OR: 7, 95% CI: 2.3 to 21.8, p=0.001). No differences in clinical outcomes were observed when patients with and without gustatory and olfactory dysfunctions were compared. Recovery rates were 20% (n=10) and 85% (n=42) at days 7 and 45, respectively.Conclusion The prevalence of gustatory and olfactory dysfunctions in COVID-19 pneumonia was much higher than in self-report. Presence of gustatory and olfactory dysfunctions was not a predictor of clinical outcomes.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2044-6055
Relation: https://bmjopen.bmj.com/content/11/8/e040775.full; https://doaj.org/toc/2044-6055
DOI: 10.1136/bmjopen-2020-040775
URL الوصول: https://doaj.org/article/7be9b6443cbb4f6ea985ac53fac037ec
رقم الانضمام: edsdoj.7be9b6443cbb4f6ea985ac53fac037ec
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20446055
DOI:10.1136/bmjopen-2020-040775