Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-27T08:52:17.188Z Has data issue: false hasContentIssue false

Recovery of olfactory and gustatory dysfunctions in coronavirus disease 2019 patients: a prospective cohort study

Published online by Cambridge University Press:  09 February 2022

M H Taziki Balajelini
Affiliation:
Department of Otorhinolaryngology, School of Medicine, Golestan University of Medical Sciences, Gorgan, Iran
M A Vakili
Affiliation:
Department of Family and Community Medicine, School of Medicine, Golestan, University of Medical Sciences, Gorgan, Iran
A Rajabi*
Affiliation:
Health Management and Social Development Research Center, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran
M Mohammadi
Affiliation:
Golestan Research Centre of Gastroenterology and Hepatology, Golestan University of Medical Sciences, Gorgan, Iran
A Tabarraei
Affiliation:
Department of Microbiology, School of Medicine, Infectious Diseases Research Center, Golestan University of Medical Sciences, Gorgan, Iran
S M Hosseini*
Affiliation:
Department of Physiology, School of Medicine, Neuroscience Research Center, Golestan University of Medical Sciences, Gorgan, Iran
*
Authors for correspondence: Dr Abdolhalim Rajabi, Health Management and Social Development Research Center, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran E-mail: drrajabi.a@goums.ac.ir Fax: +98 017 3245 6105
Seyed Mehran Hosseini, MD. PhD., Associate Professor of Medical Physiology, Department of Physiology, School of Medicine, Neuroscience Research Center Golestan University of Medical Sciences, Gorgan, Golestan, Iran E-mail: hosseini@goums.ac.ir Tel: 00989113736634

Abstract

Objective

This study aimed to determine the association of some demographic and clinical factors with recovery from olfactory and gustatory dysfunction in coronavirus disease 2019 patients in Iran.

Methods

This prospective cohort study was performed on 242 coronavirus disease 2019 patients with olfactory and gustatory dysfunction. The time from onset to recovery for olfactory and gustatory dysfunction was estimated by the Kaplan–Meier estimator.

Results

After six months, 239 patients (98.8 per cent) had completely recovered from olfactory dysfunction. Olfactory and gustatory dysfunction symptoms resolved in 80.99 per cent and 83.56 per cent of the patients, respectively, within the first 30 days of symptom onset. Mean recovery time for olfactory dysfunction (35.07 ± 4.25 days) was significantly longer in those infected during the first epidemic wave compared with those infected during the second wave (21.65 ± 2.05 days) (p = 0.004). A similar pattern in recovery time was observed for cases of gustatory dysfunction (p = 0.005).

Conclusion

The recovery rate for coronavirus disease 2019 related olfactory and gustatory dysfunction is high within the first month of symptom onset.

Type
Main Article
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A Rajabi takes responsibility for the integrity of the content of the paper

*

These authors (A Rajabi and S M Hosseini) are contributed equally to this work.

References

Mao, L, Jin, H, Wang, M, Hu, Y, Chen, S, He, Q et al. Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China. JAMA Neurol 2020;77:683–90CrossRefGoogle ScholarPubMed
Bartenfeld, M, Griese, S, Uyeki, T, Gerber, SI, Peacock, G. Middle East respiratory syndrome coronavirus and children: what pediatric health care professionals need to know. Clin Pediatr (Phila) 2017;56:187–9CrossRefGoogle Scholar
Shen, K, Yang, Y, Wang, T, Zhao, D, Jiang, Y, Jin, R et al. Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts’ consensus statement. World J Pediatr 2020;16:223–3110.1007/s12519-020-00343-7CrossRefGoogle ScholarPubMed
Feng, K, Yun, Y, Wang, X, Yang, G, Zheng, Y, Lin, C et al. Analysis of CT features of 15 children with 2019 novel coronavirus infection [in Chinese]. Zhonghua Er Ke Za Zhi 2020;58:275–8Google Scholar
Pan, X, Chen, D, Xia, Y, Wu, X, Li, T, Ou, X et al. Asymptomatic cases in a family cluster with SARS-CoV-2 infection. Lancet Infect Dis 2020;20:410–11CrossRefGoogle Scholar
Vaira, LA, Salzano, G, Deiana, G, De Riu, G. Anosmia and ageusia: common findings in COVID-19 patients. Laryngoscope 2020;130:1787CrossRefGoogle ScholarPubMed
Guo, Y-R, Cao, Q-D, Hong, Z-S, Tan, Y-Y, Chen, S-D, Jin, H-J et al. The origin, transmission and clinical therapies on coronavirus disease 2019 (COVID-19) outbreak–an update on the status. Mil Med Res 2020;7:11Google Scholar
Guan, W, Ni, Z, Hu, Y, Liang, W, Ou, C, He, J et al. Clinical characteristics of coronavirus disease 2019 in China. J Emerg Med 2020;58:711–12Google Scholar
Huang, C, Wang, Y, Li, X, Ren, L, Zhao, J, Hu, Y et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395:497506CrossRefGoogle ScholarPubMed
Vent, J, Wang, D-W, Damm, M. Effects of traditional Chinese acupuncture in post-viral olfactory dysfunction. Otolaryngol Head Neck Surg 2010;142:505–9CrossRefGoogle ScholarPubMed
Michael, W. Anosmia treated with acupuncture. Acupunct Med 2003;21:153–410.1136/aim.21.4.153CrossRefGoogle ScholarPubMed
Balajelini, MHT, Vakili, MA, Saeidi, M, Tabarraei, A, Hosseini, SM. Using anti-SARS-CoV-2 IgG and IgM antibodies to detect outpatient cases with olfactory and taste disorders suspected as mild form of COVID-19: a retrospective survey. SN Compr Clin Med 2020;2:2554–60CrossRefGoogle Scholar
Temmel, AF, Quint, C, Schickinger-Fischer, B, Klimek, L, Stoller, E, Hummel, T. Characteristics of olfactory disorders in relation to major causes of olfactory loss. Arch Otolaryngol Head Neck Surg 2002;128:635–41CrossRefGoogle ScholarPubMed
Palheta Neto, FX, Targino, MN, Peixoto, VS, Alcântara, FB, de Jesus, CC, de Araújo, DC et al. Sensorial abnormalities: smell and taste. Int Arch Otolaryngol 2011;15:350–8Google Scholar
Dai, Q, Pang, Z, Yu, H. Recovery of olfactory function in postviral olfactory dysfunction patients after acupuncture treatment. Evid Based Complement Alternat Med 2016;2016:498603410.1155/2016/4986034CrossRefGoogle ScholarPubMed
Gupta, V, Banavara Rajanna, L, Upadhyay, K, Bhatia, R, Madhav Reddy, N, Malik, D et al. Olfactory and gustatory dysfunction in COVID-19 patients from northern India: a cross-sectional observational study. Indian J Otolaryngol Head Neck Surg 2021;73:218–25CrossRefGoogle ScholarPubMed
Chary, E, Carsuzaa, F, Trijolet, J-P, Capitaine, A-L, Roncato-Saberan, M, Fouet, K et al. Prevalence and recovery from olfactory and gustatory dysfunctions in Covid-19 infection: a prospective multicenter study. Am J Rhinol Allergy 2020;34:686–93CrossRefGoogle ScholarPubMed
Altin, F, Cingi, C, Uzun, T, Bal, C. Olfactory and gustatory abnormalities in COVID-19 cases. Eur Arch Otorhinolaryngol 2020;277:2775–81CrossRefGoogle ScholarPubMed
Dell'Era, V, Farri, F, Garzaro, G, Gatto, M, Aluffi Valletti, P, Garzaro, M. Smell and taste disorders during COVID-19 outbreak: cross-sectional study on 355 patients. Head Neck 2020;42:1591–6CrossRefGoogle ScholarPubMed
Paderno, A, Mattavelli, D, Rampinelli, V, Grammatica, A, Raffetti, E, Tomasoni, M et al. Olfactory and gustatory outcomes in COVID-19: a prospective evaluation in nonhospitalized subjects. Otolaryngol Head Neck Surg 2020;163:1144–9CrossRefGoogle ScholarPubMed
Reden, J, Mueller, A, Mueller, C, Konstantinidis, I, Frasnelli, J, Landis, BN et al. Recovery of olfactory function following closed head injury or infections of the upper respiratory tract. Arch Otolaryngol Head Neck Surg 2006;132:265–9CrossRefGoogle ScholarPubMed
Flint, PW, Haughey, BH, Robbins, KT, Thomas, JR, Niparko, JK, Lund, VJ et al. Cummings Otolaryngology – Head and Neck Surgery E-book: Edition 6. London: Elsevier Health Sciences, 2014Google Scholar
Romero-Gameros, CA, Waizel-Haiat, S, Mendoza-Zubieta, V, Anaya-Dyck, A, López-Moreno, MA, Colin-Martinez, T et al. Evaluation of predictive value of olfactory dysfunction, as a screening tool for COVID-19. Laryngoscope Investig Otolaryngol 2020;5:983–91CrossRefGoogle ScholarPubMed
Lechien, JR, Chiesa-Estomba, CM, De Siati, DR, Horoi, M, Le Bon, SD, Rodriguez, A et al. Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study. Eur Arch Otorhinolaryngol 2020;277:2251–61CrossRefGoogle ScholarPubMed
Meini, S, Suardi, LR, Busoni, M, Roberts, AT, Fortini, A. Olfactory and gustatory dysfunctions in 100 patients hospitalized for COVID-19: sex differences and recovery time in real-life. Eur Arch Otorhinolaryngol 2020;277:3519–23CrossRefGoogle ScholarPubMed
Gorzkowski, V, Bevilacqua, S, Charmillon, A, Jankowski, R, Gallet, P, Rumeau, C et al. Evolution of olfactory disorders in COVID-19 patients. Laryngoscope 2020;130:2667–73CrossRefGoogle ScholarPubMed
Amer, MA, Elsherif, HS, Abdel-Hamid, AS, Elzayat, S. Early recovery patterns of olfactory disorders in COVID-19 patients; a clinical cohort study. Am J Otolaryngol 2020;41:102725CrossRefGoogle ScholarPubMed
Lv, H, Zhang, W, Zhu, Z, Xiong, Q, Xiang, R, Wang, Y et al. Prevalence and recovery time of olfactory and gustatory dysfunction in hospitalized patients with COVID-19 in Wuhan, China. Int J Infect Dis 2020;100:507–12CrossRefGoogle ScholarPubMed
Ramasamy, K, Saniasiaya, J, Abdul Gani, N. Olfactory and gustatory dysfunctions as a clinical manifestation of coronavirus disease 2019 in a Malaysian tertiary center. Ann Otol Rhinol Laryngol 2020;130:513–19CrossRefGoogle Scholar
Hopkins, C, Surda, P, Whitehead, E, Kumar, BN. Early recovery following new onset anosmia during the COVID-19 pandemic–an observational cohort study. J Otolaryngol Head Neck Surg 2020;49:126CrossRefGoogle ScholarPubMed
Vaira, LA, Hopkins, C, Petrocelli, M, Lechien, J, Chiesa-Estomba, C, Salzano, G et al. Smell and taste recovery in coronavirus disease 2019 patients: a 60-day objective and prospective study. J Laryngol Otol 2020;134:703–9CrossRefGoogle ScholarPubMed
Cho, RH, To, ZW, Yeung, ZW, Tso, EY, Fung, KS, Chau, SK et al. COVID-19 viral load in the severity of and recovery from olfactory and gustatory dysfunction. Laryngoscope 2020;130:2680–5CrossRefGoogle ScholarPubMed
Hannum, ME, Ramirez, VA, Lipson, SJ, Herriman, RD, Toskala, AK, Lin, C et al. Objective sensory testing methods reveal a higher prevalence of olfactory loss in COVID-19-positive patients compared to subjective methods: a systematic review and meta-analysis. Chem Senses 2020;45:865–74Google ScholarPubMed
Gerkin, RC, Ohla, K, Veldhuizen, MG, Joseph, PV, Kelly, CE, Bakke, AJ et al. Recent smell loss is the best predictor of COVID-19 among individuals with recent respiratory symptoms. Chem Senses 2021;46:bjaa081CrossRefGoogle ScholarPubMed
Yan, CH, Faraji, F, Prajapati, DP, Ostrander, BT, DeConde, AS. Self-reported olfactory loss associates with outpatient clinical course in COVID-19. Int Forum Allergy Rhinol 2020;10:821–31CrossRefGoogle ScholarPubMed