PATTERNS OF OTORHINOLARYNGOLOGICAL MANIFESTATIONS OF COVID-19: A LONGITUDINAL QUESTIONNAIRE-BASED PROSPECTIVE STUDY IN A TERTIARY HOSPITAL IN SAUDI ARABIA

Patterns of Otorhinolaryngological Manifestations of Covid-19: A Longitudinal Questionnaire-Based Prospective Study in a Tertiary Hospital in Saudi Arabia

Patterns of Otorhinolaryngological Manifestations of Covid-19: A Longitudinal Questionnaire-Based Prospective Study in a Tertiary Hospital in Saudi Arabia

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Objective: Many studied investigated the manifestations of COVID-19, yet few described the pattern and severity of otolaryngological symptoms.We aim to describe the picture of COVID-19-associated otorhinolaryngological manifestations and recovery to explore individualized treatment, onward referral, and complications prevention.Design: Prospective longitudinal questionnaire-based study.

Setting: The online questionnaire was filled 3 times through a remote interview over a period of 1 month from June 2020 to July 2020.Participants: Patients with confirmed COVID-19 by RT-PCR who were clinically stable.Main Outcome Measures: Date of diagnosis, sociodemographic data, and the presence of predictive factors, such as nasal and paranasal disease, anosmia and dysgeusia.

Validated tools were used, such as Sino-nasal Outcome Test (SNOT-22), smell test (medical academy screening tool), Voice Handicap Index (VHI), and Reflux Symptoms here Index (RSI).Result: The questionnaire was sent to 363 patients and the response rate was 70.80% (n = 257).

The mean age was 34.58 years (SD = 11.22) and the rate of male participants was 60.

7%.The most common otorhinolaryngological symptoms equi-jec 7 at the time of enrollment was fever (48.6%), whilst the commonest severe symptom was cough (57%).

After 1 month, only 11 participants had persistent severe symptoms, especially sleep and psychological symptoms (73%), and the majority were female (63.6%).All of them had at least 1 comorbidity.

There was a significant difference between the mean age of participants with severe symptoms (mean = 27.45, SD = 8.39) and without severe symptoms (mean = 34.

90, SD = 2.53, t (255) = 2.17, P =.

031).Conclusion: COVID-19 has a wide-ranged spectrum of presentations, with otorhinolaryngological symptoms being the commonest and most serious.Studying these symptoms is vital to advance management options.

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