Subjective and psychophysical olfactory and gustatory dysfunction among COVID-19 outpatients; short- And long-term results

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  • Mads Mose Jensen
  • Kasper Daugaard Larsen
  • Anne Sophie Homøe
  • Anders Lykkemark Simonsen
  • Elisabeth Arndal
  • Anders Koch
  • Grethe Badsberg Samuelsen
  • Xiaohui Chen Nielsen
  • Todsen, Tobias
  • Homøe, Preben

Background Olfactory and gustatory dysfunctions are early symptoms of SARS-CoV-2 infection. Between 20–80% of infected individuals report subjective altered sense of smell and/or taste during infection. Up to 2/3 of previously infected experience persistent olfactory and/or gustatory dysfunction after 6 months. The aim of this study was to examine subjective and psychophysical olfactory and gustatory function in non-hospitalized individuals with acute COVID-19 up to 6 months after infection. Methods Individuals aged 18-80-years with a positive SARS-CoV-2 PCR test no older than 10 days, were eligible. Only individuals able to visit the outpatient examination facilities were included. Gustatory function was tested with the Burgharts Taste Strips and olfactory function was examined with the Brief Smell Identifications test (Danish version). Subjective symptoms were examined through an online questionnaire at inclusion, day 30, 90 and 180 after inclusion. Results Fifty-eight SARS-CoV-2 positive and 56 negative controls were included. 58.6% (34/58) of SARS-CoV-2 positive individuals vs. 8.9% (5/56) of negative controls reported subjective olfactory dysfunction at inclusion. For gustatory dysfunction, 46.5% (27/58) of positive individuals reported impairment compared to 8.9% (5/56) of negative controls. In psychophysical tests, 75.9% (46/58) had olfactory dysfunction and 43.1% (25/58) had gustatory dysfunction among the SARS-CoV-2 positive individuals at inclusion. Compared to negative controls, SARS-CoV-2 infected had significantly reduced olfaction and gustation. Previously infected individuals continued to report lower subjective sense of smell 30 days after inclusion, whereafter the difference between the groups diminished. However, after 180 days, 20.7% (12/58) positive individuals still reported reduced sense of smell and taste. Conclusion Olfactory and gustatory dysfunctions are prevalent symptoms of SARS-CoV-2 infection, but there is inconsistency between subjective reporting and psychophysical test assessment of especially olfaction. Most individuals regain normal function after 30 days, but approximately 20% report persistent olfactory and gustatory dysfunction 6 months after infection.

OriginalsprogEngelsk
Artikelnummere0275518
TidsskriftPLoS ONE
Vol/bind17
Udgave nummer10 October
ISSN1932-6203
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
Yes - PH has received funding from The EU Interreg ØKS foundation (https://interreg-oks. eu/) grant number NYPS 20303399. The sponsor had no role in planning, execution or analyzing the results of the study. We thank all the junior doctors who helped with inclusion. Furthermore, we thank The Acute Center, Zealand University Hospital Koege for providing facilities for inclusion of COVID-19 positive individuals. Furthermore, we thank the employees at the COVID test facilities helping promote the study to possible participants.

Publisher Copyright:
© 2022 Jensen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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