Otorhinolaryngological symptoms in hospitalized patients with COVID-19 - single-medical-center study in Serbia

IF 0.2 4区医学 Q4 MEDICINE, GENERAL & INTERNAL

Srpski arhiv za celokupno lekarstvo Pub Date : 2023-01-01 DOI:10.2298/sarh220719036s

S. Sankovic-Babic, V. Milutinovic, Zorana Radin, Neda Sapic, S. Colic

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引用次数: 0

Abstract

Introduction/Aim. The infectious condition named coronavirus disease 2019 (COVID-19) was caused by coronavirus2 (SARS-Cov-2). Patients with COVID-19 disease may have symptoms which can range from mild to severe clinical condition. The aim of this study was to observe and analyze the presence of otorhinolaryngology symptoms in hospitalized patients with moderate to severe COVID-19 disease. Methods. The descriptive clinical study analyzed data from medical records in 230 hospitalized patients with moderate to severe COVID-19 pneumonia at Zvezdara University Medical Center, Belgrade, Serbia. Otorhinolaryngology symptoms as well as generalized COVID-19 related symptoms were analyzed from medical records during the year 2021. SARS-CoV-2 virus infection was previously confirmed in all patients with positive polymerase chain reaction (PCR) test and/or rapid antigen (Ag) test. Results. The mean age of 230 patients included in this study was 64 years. The most common general symptoms were cough 72%, fever 52%, dyspnea 46%, malaise 46% while to lesser extent were observed myalgia 19%, vomitus 3% and diarrhea 3%. The distribution of otorhinolaryngological symptoms showed that the most frequent symptom was anosmia 22%, while the throat pain was present in 20% and ageusia in 19% of patients. The otorhinolaryngological symptoms which were present in lower frequencies were headache in16% of patients, tinnitus in 6%, vertigo in 5%, and hearing loss in 3% of patients. Comorbidities were observed more often in patients older than 50 years. Hypertension was the most common chronic disease in 60%, followed by diabetes in 23%, chronic obstructive pulmonary disease in 7%, malignancy in 7%, hypothyroidism in 6%, and renal disease in 4% of patients. Conclusion. Otorhinolaryngological conditions that should be the subject of further post COVID survey are prolonged anosmia, ageusia or hypogeusia, auditory dysfunction and vertiginous complaints.

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新冠肺炎住院患者的耳鼻咽喉症状——塞尔维亚单一医疗中心研究

介绍/目标。冠状病毒病2019 (COVID-19)是由冠状病毒2 (SARS-Cov-2)引起的传染病。COVID-19患者可能出现从轻微到严重的临床症状。本研究的目的是观察和分析中重度COVID-19住院患者的耳鼻喉科症状。方法。这项描述性临床研究分析了塞尔维亚贝尔格莱德兹韦兹达拉大学医学中心230名中重度COVID-19肺炎住院患者的医疗记录数据。从2021年的医疗记录中分析耳鼻喉科症状和广泛性COVID-19相关症状。所有聚合酶链反应(PCR)试验和/或快速抗原(Ag)试验阳性的患者先前均确诊为SARS-CoV-2病毒感染。结果。本研究纳入的230例患者平均年龄为64岁。最常见的一般症状为咳嗽(72%)、发热(52%)、呼吸困难(46%)、不适(46%)，其次为肌痛(19%)、呕吐(3%)和腹泻(3%)。耳鼻喉科症状的分布显示，最常见的症状是嗅觉丧失(22%)，喉部疼痛(20%)和耳鸣(19%)。出现频率较低的耳鼻喉科症状为16%的患者头痛，6%的患者耳鸣，5%的患者眩晕，3%的患者听力下降。合并症在50岁以上的患者中更为常见。高血压是最常见的慢性疾病，占60%，其次是糖尿病(23%)、慢性阻塞性肺病(7%)、恶性肿瘤(7%)、甲状腺功能减退(6%)和肾病(4%)。结论。耳鼻喉科疾病应成为COVID后进一步调查的主题，包括长期嗅觉缺失、听觉障碍或听觉减退、听觉障碍和眩晕症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Srpski arhiv za celokupno lekarstvo MEDICINE, GENERAL & INTERNAL-

CiteScore

0.40

自引率

50.00%

发文量

104

审稿时长

4-8 weeks

期刊介绍： Srpski Arhiv Za Celokupno Lekarstvo (Serbian Archives of Medicine) is the Journal of the Serbian Medical Society, founded in 1872, which publishes articles by the members of the Serbian Medical Society, subscribers, as well as members of other associations of medical and related fields. The Journal publishes: original articles, communications, case reports, review articles, current topics, articles of history of medicine, articles for practitioners, articles related to the language of medicine, articles on medical ethics (clinical ethics, publication ethics, regulatory standards in medicine), congress and scientific meeting reports, professional news, book reviews, texts for "In memory of...", i.e. In memoriam and Promemoria columns, as well as comments and letters to the Editorial Board. All manuscripts under consideration in the Serbian Archives of Medicine may not be offered or be under consideration for publication elsewhere. Articles must not have been published elsewhere (in part or in full).