loading page

Objective and subjective olfactory dysfunction among COVID-19 inpatients and controls: a prospective, case-control study
  • +4
  • Thomas Cyberski,
  • Nicoletta Zipparro,
  • Morgan Ottley,
  • Alexandra Tate,
  • David Meltzer,
  • Jayant Pinto,
  • Dara Adams
Thomas Cyberski
University of Chicago Biological Sciences Division

Corresponding Author:cyberski@uchicago.edu

Author Profile
Nicoletta Zipparro
The University of Chicago
Author Profile
Morgan Ottley
The University of Chicago
Author Profile
Alexandra Tate
The University of Chicago Medicine
Author Profile
David Meltzer
The University of Chicago Medicine
Author Profile
Jayant Pinto
University of Chicago Department of Surgery
Author Profile
Dara Adams
Massachusetts Eye and Ear
Author Profile

Abstract

Introduction: Olfactory dysfunction associated with COVID-19 infection is frequently described, but few studies utilize validated, objective tests or a control group. We compared rates of olfactory dysfunction between adults hospitalized with COVID-19 and controls admitted with similar upper respiratory symptoms who were COVID-19-negative. Methods: Hospitalized (general ward) adults with upper respiratory symptoms who tested PCR positive or negative for SARS-CoV-2 completed the objective Brief Smell Identification Test (BSIT; ≥9 correct=normal) and subjective assessments while hospitalized and again at 3 month follow up. Comparison of groups was performed by t test or chi-square test of independence. Results: There were no differences in mean age or gender between groups (n=26 COVID, n=28 control). Both groups demonstrated objective olfactory dysfunction (mean BSIT 7.9 ± 2.8 COVID vs. 8.3 ± 3.2 control, p=0.62). Rates of both objective and subjective dysfunction did not significantly differ between groups. Follow up data at 3 months was limited (n=6 COVID, n=5), but showed 50% olfactory dysfunction in COVID patients compared to 20% in controls. Conclusions: SARS-CoV-2 and other viral illnesses serious enough to cause hospitalization cause olfactory dysfunction. Better understanding of the trajectory of chemosensory recovery will help elucidate the pathophysiology of viral-associated olfactory dysfunction and inform the care of patients suffering from its sequelae.