Six month follow-up of self-reported loss of smell during the COVID-19 pandemic

Six month follow-up of self-reported loss of smell during the COVID-19 pandemic
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DOI:
10.4193/rhin20.544
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发表时间:
2021-01-01
期刊:
影响因子:
7.2
通讯作者:
Kumar, Nirmal
Kumar, Nirmal
中科院分区:
医学1区
文献类型:
--
作者:
Hopkins, Claire;Surda, Pavol;Kumar, Nirmal

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前言:嗅觉和味觉丧失现在被认为是COVID-19最常见的症状之一,也是COVID-19阳性的最佳预测因素。长期结果未知。这项研究旨在调查嗅觉丧失的恢复情况和嗅觉异常的患病率。方法:对在英国COVID-19大流行开始时自我报告嗅觉丧失的在线手术的受访者进行6个月的随访。额外的症状,恢复嗅觉丧失和嗅觉异常的发展的信息collected.Results:44%的受访者报告至少有一个其他持续的症状,在6个月,其中疲劳(n=106)是最普遍的。嗅觉丧失严重程度的自我评定有显著改善,其中177名患者表示他们有正常的嗅觉,而12名患者报告嗅觉完全丧失。嗅觉异常的患病率为43.1%,平均间隔为2.5个月(范围0-6)从发病的损失smole.Conclusions:虽然许多患者恢复迅速,一些经验的长期赤字没有自我报告的改善,在6个月。此外,嗅觉异常的患病率很高,即使在那些报告至少有一些嗅觉功能恢复的人中。需要对恢复情况进行更长期的评估。
Introduction: Loss of smell and taste is now recognised as amongst the most common symptoms of COVID-19 and the best predictor of COVID-19 positivity. Long term outcomes are unknown. This study aims to investigate recovery of loss of smell and the prevalence of parosmia.Methodology: 6-month follow-up of respondents to an online surgery who self-reported loss of smell at the onset of the COVID-19 pandemic in the UK. Information of additional symptoms, recovery of loss of smell and the development of parosmia was collected.Results: 44% of respondents reported at least one other ongoing symptom at 6 months, of which fatigue (n=106) was the most prevalent. There was a significant improvement in self-rating of severity of olfactory loss where 177 patients stated they had a normal smell of smell while 12 patients reported complete loss of smell. The prevalence of parosmia is 43.1% with median interval of 2.5 months (range 0-6) from the onset of loss of smell.Conclusions: While many patients recover quickly, some experience long-term deficits with no self-reported improvement at 6 months. Furthermore, there is a high prevalence of parosmia even in those who report at least some recovery of olfactory function. Longer term evaluation of recovery is required.