Serveur d'exploration sur la COVID en France

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Objective Olfactory Findings in Hospitalized Severe COVID-19 Patients.

Identifieur interne : 000733 ( Main/Corpus ); précédent : 000732; suivant : 000734

Objective Olfactory Findings in Hospitalized Severe COVID-19 Patients.

Auteurs : Jerome R. Lechien ; Morgane Ducarme ; Sammy Place ; Carlos M. Chiesa-Estomba ; Mohamad Khalife ; Giacomo De Riu ; Luigi Angelo Vaira ; Christophe De Terwangne ; Shahram Machayekhi ; Arnaud Marchant ; Fabrice Journe ; Sven Saussez

Source :

RBID : pubmed:32752123

Abstract

OBJECTIVE

We investigate the prevalence of the self-reported and objective sudden loss of smell (SLS) in patients with severe coronavirus disease 2019 (COVID-19).

METHODS

Severe COVID-19 patients with self-reported SLS were recruited at hospitalization discharge. Epidemiological and clinical data were collected. The Sino-nasal Outcome Test-22 (SNOT-22) was used to evaluate rhinological complaints. Subjective olfactory and gustatory functions were assessed with the National Health and Nutrition Examination Survey (NHNES). Objective SLS was evaluated using psychophysical tests. Potential associations between olfactory evaluation and the clinical outcomes (duration of hospitalization; admission biology; one month serology (IgG), and chest computed tomography findings) were studied.

RESULTS

Forty-seven patients completed the study (25 females). Subjectively, eighteen (38.3%) individuals self-reported subjective partial or total SLS. Among them, only three and four were anosmic and hyposmic, respectively (38.9%). Considering the objective evaluation in the entire cohort, the prevalence of SLS was 21.3%. Elderly patients and those with diabetes had lower objective olfactory evaluation results than young and non-diabetic individuals.

CONCLUSIONS

The prevalence of SLS in severe COVID-19 patients appears to be lower than previously estimated in mild-to-moderate COVID-19 forms. Future comparative studies are needed to explore the predictive value of SLS for COVID-19 severity.


DOI: 10.3390/pathogens9080627
PubMed: 32752123
PubMed Central: PMC7460289

Links to Exploration step

pubmed:32752123

Le document en format XML

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<nlm:affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, B1000 Brussels, Belgium.</nlm:affiliation>
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<name sortKey="Vaira, Luigi Angelo" sort="Vaira, Luigi Angelo" uniqKey="Vaira L" first="Luigi Angelo" last="Vaira">Luigi Angelo Vaira</name>
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<name sortKey="De Terwangne, Christophe" sort="De Terwangne, Christophe" uniqKey="De Terwangne C" first="Christophe" last="De Terwangne">Christophe De Terwangne</name>
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<name sortKey="Machayekhi, Shahram" sort="Machayekhi, Shahram" uniqKey="Machayekhi S" first="Shahram" last="Machayekhi">Shahram Machayekhi</name>
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<name sortKey="Marchant, Arnaud" sort="Marchant, Arnaud" uniqKey="Marchant A" first="Arnaud" last="Marchant">Arnaud Marchant</name>
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<nlm:affiliation>Institute for Medical Immunology, Université libre de Bruxelles, B1000 Brussels, Belgium.</nlm:affiliation>
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<name sortKey="Journe, Fabrice" sort="Journe, Fabrice" uniqKey="Journe F" first="Fabrice" last="Journe">Fabrice Journe</name>
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<name sortKey="Saussez, Sven" sort="Saussez, Sven" uniqKey="Saussez S" first="Sven" last="Saussez">Sven Saussez</name>
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<nlm:affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), F92150 Paris, France.</nlm:affiliation>
</affiliation>
<affiliation>
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<nlm:affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, B1000 Brussels, Belgium.</nlm:affiliation>
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<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>We investigate the prevalence of the self-reported and objective sudden loss of smell (SLS) in patients with severe coronavirus disease 2019 (COVID-19).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Severe COVID-19 patients with self-reported SLS were recruited at hospitalization discharge. Epidemiological and clinical data were collected. The Sino-nasal Outcome Test-22 (SNOT-22) was used to evaluate rhinological complaints. Subjective olfactory and gustatory functions were assessed with the National Health and Nutrition Examination Survey (NHNES). Objective SLS was evaluated using psychophysical tests. Potential associations between olfactory evaluation and the clinical outcomes (duration of hospitalization; admission biology; one month serology (IgG), and chest computed tomography findings) were studied.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Forty-seven patients completed the study (25 females). Subjectively, eighteen (38.3%) individuals self-reported subjective partial or total SLS. Among them, only three and four were anosmic and hyposmic, respectively (38.9%). Considering the objective evaluation in the entire cohort, the prevalence of SLS was 21.3%. Elderly patients and those with diabetes had lower objective olfactory evaluation results than young and non-diabetic individuals.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>The prevalence of SLS in severe COVID-19 patients appears to be lower than previously estimated in mild-to-moderate COVID-19 forms. Future comparative studies are needed to explore the predictive value of SLS for COVID-19 severity.</p>
</div>
</front>
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<ISSN IssnType="Print">2076-0817</ISSN>
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<Volume>9</Volume>
<Issue>8</Issue>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">We investigate the prevalence of the self-reported and objective sudden loss of smell (SLS) in patients with severe coronavirus disease 2019 (COVID-19).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Severe COVID-19 patients with self-reported SLS were recruited at hospitalization discharge. Epidemiological and clinical data were collected. The Sino-nasal Outcome Test-22 (SNOT-22) was used to evaluate rhinological complaints. Subjective olfactory and gustatory functions were assessed with the National Health and Nutrition Examination Survey (NHNES). Objective SLS was evaluated using psychophysical tests. Potential associations between olfactory evaluation and the clinical outcomes (duration of hospitalization; admission biology; one month serology (IgG), and chest computed tomography findings) were studied.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Forty-seven patients completed the study (25 females). Subjectively, eighteen (38.3%) individuals self-reported subjective partial or total SLS. Among them, only three and four were anosmic and hyposmic, respectively (38.9%). Considering the objective evaluation in the entire cohort, the prevalence of SLS was 21.3%. Elderly patients and those with diabetes had lower objective olfactory evaluation results than young and non-diabetic individuals.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The prevalence of SLS in severe COVID-19 patients appears to be lower than previously estimated in mild-to-moderate COVID-19 forms. Future comparative studies are needed to explore the predictive value of SLS for COVID-19 severity.</AbstractText>
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<ForeName>Jerome R</ForeName>
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<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), F92150 Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), B7000 Mons, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology-Head & Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), F92150 Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, B1000 Brussels, Belgium.</Affiliation>
</AffiliationInfo>
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</AffiliationInfo>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology-Head & Neck Surgery, Hospital Universitario Donostia, 00685 San Sebastian, Spain.</Affiliation>
</AffiliationInfo>
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<LastName>Khalife</LastName>
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</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otolaryngology-Head & Neck Surgery, EpiCURA Hospital, B7000 Baudour, Belgium.</Affiliation>
</AffiliationInfo>
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<Affiliation>Maxillofacial Surgery Unit, University Hospital of Sassari, 07100 Sassari, Italy.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Vaira</LastName>
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</AffiliationInfo>
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<LastName>de Terwangne</LastName>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Machayekhi</LastName>
<ForeName>Shahram</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Marchant</LastName>
<ForeName>Arnaud</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Institute for Medical Immunology, Université libre de Bruxelles, B1000 Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Journe</LastName>
<ForeName>Fabrice</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), B7000 Mons, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Saussez</LastName>
<ForeName>Sven</ForeName>
<Initials>S</Initials>
<AffiliationInfo>
<Affiliation>COVID-19 Task Force of the Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), F92150 Paris, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), B7000 Mons, Belgium.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Bruxelles, CHU Saint-Pierre, School of Medicine, Université Libre de Bruxelles, B1000 Brussels, Belgium.</Affiliation>
</AffiliationInfo>
</Author>
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<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">anosmia</Keyword>
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