Prevalence of acute olfactory dysfunction differs between variants of SARS-CoV-2-results from chemosensitive testing in wild type, VOC alpha (B.1.1.7) and VOC delta (B.1617.2)

Hintschich, Constantin A. and Vielsmeier, Veronika and Bohr, Christopher and Hagemann, Jan and Klimek, Ludger (2022) Prevalence of acute olfactory dysfunction differs between variants of SARS-CoV-2-results from chemosensitive testing in wild type, VOC alpha (B.1.1.7) and VOC delta (B.1617.2). EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 279 (11). pp. 5445-5447. ISSN 0937-4477, 1434-4726

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Abstract

Background Olfactory dysfunction is one of the leading symptoms of COVID-19. Previous data suggest a different prevalence between the wild type virus and its subsequent variants. Here, we report on a prospective study to psychophysically compare olfactory function in acute SARS-CoV-2 infection between wild type, VOC alpha and VOC delta. Methods SARS-CoV-2 was confirmed by reverse-transcription quantitative real-time PCR and virus variants were differentiated by high-sensitive next-generation sequencing. Home-quarantined were sent a validated and blinded smell identification test. A detailed instruction ensured correct self-administration. Results A total of 125 patients were included in study. Patients with the wild type of SARS-CoV-2 self-evaluated their olfactory function significant lower on the visual analog score compared patients with the VOCs alpha or delta (4.1 +/- 1.5 vs. 6.8 +/- 2.9 and 7.3 +/- 0.9; p < 0.001). Likewise, a significant difference of the prevalence of psychophysically confirmed hyposmia (wild type: 73%; alpha: 41%; delta 48%; p < 0.01) and smell test score (48 +/- 25% vs. 70 +/- 23% and 67 +/- 18%; p < 0.01) could be seen between wild type on one side and VOCs alpha and delta on the other side. Conclusion In this study, both self-reports and psychophysical testing revealed a significant higher prevalence of olfactory impairment in the wild type of SARS-CoV-2 compared to the VOCs alpha and delta.

Item Type: Article
Uncontrolled Keywords: ; SARS-CoV-2; COVID-19; Olfaction; Smell
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 05 Feb 2024 14:20
Last Modified: 05 Feb 2024 14:20
URI: https://pred.uni-regensburg.de/id/eprint/57319

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