Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort study

Abstract Background A rapidly evolving evidence suggests that smell and taste disturbance are common symptoms in COVID-19 infection. As yet there are no reports on duration and recovery rates. We set out to characterise patients reporting new onset smell and taste disturbance during the COVID-19 pan...

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Main Authors: Claire Hopkins, Pavol Surda, Emily Whitehead, B. Nirmal Kumar
Format: Article
Language:English
Published: SAGE Publishing 2020-05-01
Series:Journal of Otolaryngology - Head and Neck Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40463-020-00423-8
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author Claire Hopkins
Pavol Surda
Emily Whitehead
B. Nirmal Kumar
author_facet Claire Hopkins
Pavol Surda
Emily Whitehead
B. Nirmal Kumar
author_sort Claire Hopkins
collection DOAJ
description Abstract Background A rapidly evolving evidence suggests that smell and taste disturbance are common symptoms in COVID-19 infection. As yet there are no reports on duration and recovery rates. We set out to characterise patients reporting new onset smell and taste disturbance during the COVID-19 pandemic and report on early recovery rates. Methods Online Survey of patients reporting self-diagnosed new onset smell and taste disturbance during the COVID-19 pandemic, with 1 week follow-up. Results Three hundred eighty-two patents completed bot an initial and follow-up survey. 86.4% reported complete anosmia and a further 11.5% a very severe loss of smell at the time of completing the first survey. At follow-up 1 week later, there is already significant improvement in self-rating of severity of olfactory loss. 80.1% report lower severity scores at follow-up, 17.6% are unchanged and 1.9% are worse. 11.5% already report compete resolution at follow up, while 17.3% report persistent complete loss of smell, with reported duration being 1 to over 4 weeks. This is reflected in the overall cumulative improvement rate of 79% patients overall in the interval between surveys. Conclusions A review of the growing evidence base supports the likelihood that out cohort have suffered olfactory loss as part of COVID-19 infection. While early recovery rates are encouraging, long term rates will need to be further investigated and there may be an increase in patients with persistent post-viral loss as a result of the pandemic. We further call for loss of sense of smell to be formerly recognised as a marker of COVID-19 infection.
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spelling doaj-art-a07c9772afd041aaa9ada74f2af220c82025-02-03T00:22:57ZengSAGE PublishingJournal of Otolaryngology - Head and Neck Surgery1916-02162020-05-014911610.1186/s40463-020-00423-8Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort studyClaire Hopkins0Pavol Surda1Emily Whitehead2B. Nirmal Kumar3Guy’s and St Thomas’ HospitalsGuy’s and St Thomas’ HospitalsNewstead Wood SchoolEdge Hill University Medical SchoolAbstract Background A rapidly evolving evidence suggests that smell and taste disturbance are common symptoms in COVID-19 infection. As yet there are no reports on duration and recovery rates. We set out to characterise patients reporting new onset smell and taste disturbance during the COVID-19 pandemic and report on early recovery rates. Methods Online Survey of patients reporting self-diagnosed new onset smell and taste disturbance during the COVID-19 pandemic, with 1 week follow-up. Results Three hundred eighty-two patents completed bot an initial and follow-up survey. 86.4% reported complete anosmia and a further 11.5% a very severe loss of smell at the time of completing the first survey. At follow-up 1 week later, there is already significant improvement in self-rating of severity of olfactory loss. 80.1% report lower severity scores at follow-up, 17.6% are unchanged and 1.9% are worse. 11.5% already report compete resolution at follow up, while 17.3% report persistent complete loss of smell, with reported duration being 1 to over 4 weeks. This is reflected in the overall cumulative improvement rate of 79% patients overall in the interval between surveys. Conclusions A review of the growing evidence base supports the likelihood that out cohort have suffered olfactory loss as part of COVID-19 infection. While early recovery rates are encouraging, long term rates will need to be further investigated and there may be an increase in patients with persistent post-viral loss as a result of the pandemic. We further call for loss of sense of smell to be formerly recognised as a marker of COVID-19 infection.http://link.springer.com/article/10.1186/s40463-020-00423-8COVID-19AnosmiaEpidemiologyOlfactory dysfunction
spellingShingle Claire Hopkins
Pavol Surda
Emily Whitehead
B. Nirmal Kumar
Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort study
Journal of Otolaryngology - Head and Neck Surgery
COVID-19
Anosmia
Epidemiology
Olfactory dysfunction
title Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort study
title_full Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort study
title_fullStr Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort study
title_full_unstemmed Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort study
title_short Early recovery following new onset anosmia during the COVID-19 pandemic – an observational cohort study
title_sort early recovery following new onset anosmia during the covid 19 pandemic an observational cohort study
topic COVID-19
Anosmia
Epidemiology
Olfactory dysfunction
url http://link.springer.com/article/10.1186/s40463-020-00423-8
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AT pavolsurda earlyrecoveryfollowingnewonsetanosmiaduringthecovid19pandemicanobservationalcohortstudy
AT emilywhitehead earlyrecoveryfollowingnewonsetanosmiaduringthecovid19pandemicanobservationalcohortstudy
AT bnirmalkumar earlyrecoveryfollowingnewonsetanosmiaduringthecovid19pandemicanobservationalcohortstudy