Factors Associated with Olfactory and Gustatory Dysfunction in Post-COVID-19 Patients Treated at a Peruvian Hospital

Authors

DOI:

https://doi.org/10.15517/zzvhrj49

Keywords:

Olfactory disorders; Taste disorders; Sociodemographic factors; Epidemiological factors; Clinical factors; COVID-19.

Abstract

To determine the association between sociodemographic, epidemiological, and clinical factors and olfactory-gustatory dysfunction (OGD) in post-COVID-19 patients treated at a Peruvian hospital. An observational, analytical, and cross-sectional study was conducted using the clinical records of adult patients treated for COVID-19 at the Hospital Militar Central (HMC) between July 2020 and December 2022. Data were collected in person using a structured form that recorded sociodemographic, epidemiological, and clinical variables, as well as the presence of OGD. Poisson regression with robust variance was performed using SPSS v25. A total of 237 post-COVID-19 patients were included. Of these, 53.2% presented OGD. Among those with dysfunction, 81% reported both olfactory and gustatory impairment, 12.7% reported olfactory impairment only, and 6.3% reported gustatory impairment only. Multivariate analysis revealed that age under 60 years (p=0.007; RPa=1.194), female sex (p=0.005; RPa=1.160) and having “other” comorbidities (p=0.027; RPa=1.214) were significantly associated and increased the prevalence of OGD. Patients with age age under 60 years, female sex and  with other comorbidities were significantly associated with olfactory-gustatory dysfunction.

 

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References

Organización Mundial de la Salud. Información basíca sobre la COVID-19. [Internet]. 2020 [citado 18 de febrero de 2022]. Disponible en: https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019/question-and-answers-hub/q-a-detail/coronavirus-disease-covid-19

Organización Mundial de la Salud. Coronavirus. [Internet]. 2019 [citado 18 de febrero de 2021]. Disponible en: https://www.who.int/es/health-topics/coronavirus#tab=tab_1.

World Health Organization. WHO Coronavirus (COVID-19) Dashboard. [Internet]. 2021 [citado 18 de julio de 2022]. Disponible en: https://covid19.who.int

Centro Nacional de Epidemiología, Prevención y Control de Enfermedades. Sala COVID-19- Actualización semanal, semana epidemiolóica: 24-2025. Lima: Ministerio de Salud; 2025.

Ministerio de Salud. Situación Actual COVID-19. [Internet]. 2025 [citado 20 de junio de 2025]. Disponible en: https://bvs.minsa.gob.pe/situacion-actual-covid-19/

Nalbandian A., Sehgal K., Gupta A., Madhavan M. Post-acute COVID-19 syndrome. Nat Med. 2021; 27 (4): 601-15.

Menni C., Valdés A., Freidin M. Real-time tracking of self-reported symptoms to predict potential COVID-19. Nat Med. 2020; 26: 1037-40.

Mullol J., Alobid I., Mariño F., Izquierdo A., Marin C. The Loss of Smell and Taste in the COVID-19 Outbreak: a Tale of Many Countries. Curr Allergy Asthma Rep. 2020; 20 (10): 61.

Falcón-Guerrero B., Falcón-Pasapera G. Repercusiones en la Cavidad Oral Causadas por la Infección con COVID-19. Int. J. Odontostomat. 2021; 15 (1): 23-6.

Tong J., Wong A., Zhu D., Fastenberg J., Tham T. The Prevalence of Olfactory and Gustatory .Dysfunction in COVID-19 Patients: A Systematic Review and Meta-analysis. Otolaryngol Head Neck Surg. 2020; 163 (1): 3-11.

Jyn B., Han R., Zhao J., Wen N., Hui E., Tan C., Huak Y., Wei N., Choong T., See A., Xu S., Chapurin N., Chandra R., Chowdhury N., Butowt R., Von Bartheld C., Kumar N., Hopkins C., Tar S. Prognosis and persistence of smell and taste dysfunction in patients with covid-19: meta-analysis with parametric cure modelling of recovery curves. BMJ. 2022; 378: e069503.

Luwig S., Schell A., Berkemann M., Jungbauer F., Zaubitzer L., Huber L., Warken C., Held V., Kisnik A., Teufel A., Eberte M., Rotter N. Post-COVID-19 impairment of the senses of smell, taste, hearing, and balance. Viruses. 2022; 14 (5): 849.

Vihta K., Pouwels K., Peto T., Pritchard E., House T., Studley R., Rourke E., Cook D., Diamond I., Crook D., Clifton D., Matthews P., Stoesser N., Eyre D., Walker A. Omicron-associated changes in SARS-CoV-2 symptoms in the United Kingdom. Clin Infect Dis. 2022; 76 (3): e133-e141.

Ota Y., Yumiya Y., Chimed-Ochir O., Hasegawa A., Yoshida T., Nagata T., Tanaka J., Ohge H., Kuwabara M., Kubo T. Characteristics of patients with COVID-19 and smell and/or taste disorders depending on different virus strains: a cross-sectional study in Hiroshima, Japan. BMJ Open. 2025; 15: e088377.

Guerrero Y. Manifestaciones orales relacionadas con la COVID-19. Int J Odontostomat. 2021; 15 (2): 307-8.

Petrocelli M., Vaira L., Hopkins C., Lechien J., Chiesa-Estomba C., Salzano G. Smell and taste recovery in coronavirus disease 2019 patients: a 60-day objective and prospective study. J Laryngol Otol. 2020; 134 (8): 703-9.

Moein S., Tabarsi P., Doty R. Prevalence and reversibility of smell dysfunction measured psychophysically in a cohort of COVID-19 patients. Int Forum Allergy Rhinol. 2020; 10 (10): 1127-35.

Urgulu B., Akdogan O., Yilmaz Y., Yapar D., Aktar Ugurlu G., Yerlikaya H. Quantitative evaluation and progress of olfactory dysfunction in COVID-19. Eur Arch Otorhinolaryngol. 2021; 278 (7): 2363-9.

Fjaeldstad A. Prolonged complaints of chemosensory loss after COVID-19. Dan Med J. 2020; 67 (8): A05200340.

Ahmed S. Post-COVID-19 persistente olfactory, gustatory and trigeminal chemosensory disorders: Definitions, mechanisms, and potential treatments. World J Otorhinolaryngol. 2023; 10 (2): 4-22.

Thomas D., Mahalakshmi S., Kohli D. Anosmia: A review in the context of coronavirus disease 2019 and orofacial pain. JADA. 2020; 151 (9): 696-702.

Burges D., Campbell M., Hopkins C. Smith B., Kelly C., Deary V. Altered smell and taste: Anosmia, parosmia and the impact of long Covid-19. Plos One. 2021; 16 (9): e0256998.

Algra Y., Haverkort E., Kok W., Etten-Jamaludin F., Van Schoot L., Hollaar V., Naumann E., Van Der Schueren M., Jerković-Ćosić K. The Association between Malnutrition and Oral Health in Older People: A Systematic Review. Nutrients. 2021; 13 (10): 3584.

Tsuchiya H. Treatments of COVID-19-associated taste and saliva secretory disorders. Dent. J. 2023; 11 (6): 140.

Mendoza S., Zepeda K., Gallardo C., Pérez I. Disfunción gustativa y olfativa en un contexto de predicción de infección por SARS-CoV-2. Rev ADM. 2022; 79 (2): 92-6.

Suárez-Cabello C., Valdivia E., Vergara-Buenaventura A. Clinical-Epidemiological Profile of Dental Professionals Associated with COVID-19 Infection in Southern Peru: A Cross-Sectional Study. Int J Environ Res Public Health. 2022; 20 (1): 672.

Ministerio de Salud y Protección Social y Oficina de las Naciones Unidas contra la Droga y el Delito-UNODC. Prevención del consumo nocivo de alcohol. Estados Unidos: UNODC; 2015.

Pérez C., Rodríguez I., Díaz C. Cuestionario para la clasificación de consumidores de cigarrillo (C4) para jóvenes. Divers. Perspect. Psicol. 2011; 7 (2): 281-291.

Valdés P., Muñoz T., Barría T., Bogado M., Ruz P., Cardemil F. Validación de encuesta de calidad de vida “SNOT-22” en población chilena. Rev. Otorrinolaringol. Cir. Cabeza Cuello. 2020; 80 (4): 425-33.

Boscolo P., Guida F., Polesel J., Marcuzzo A., Antonucci P., Capriotti V. Self-reported smell and taste recovery in coronavirus disease 2019 patients: a one-year prospective study. Eur Arch Otorhinolaryngol. 2022; 279 (1): 515-20.

Boscolo P., Hummel T., Invitto S., Spinato G., Tomasoni M., Emanuelli E., et al. Psychophysical assessment of olfactory and gustatory function in post-mild COVID-19 patients: A matched case-control study with 2-year follow-up. International Forum of Allergy & Rhinology. 2023; 13 (10): 1864-75.

Spinato G., Fabbris C., Polesel J., Cazzador D., Borsetto D., Hopkins C., et al. Alterations in Smell or Taste in Mildly Symptomatic Outpatients With SARS-CoV-2 Infection. JAMA. 2020; 323 (20): 2089-90.

Barón-Sánchez J., Santiago C., Goizueta-San Martín G., Arca R., Fernández R. Afectación del sentido del olfato y el gusto en la enfermedad leve por coronavirus (COVID-19) en pacientes españoles. Neurologia. 2020; 35 (9): 633-8.

Callejón-Leblic M., Martín-Jiménez D., Moreno-Luna R., Palacios-Garcia J., Alvarez-Cendrero M., Vizcarra-Melgar J. Analysis of Prevalence and Predictive Factors of Long-Lasting Olfactory and Gustatory Dysfunction in COVID-19 Patients. Life. 2022; 12 (8): 1256.

Acosta A., Espinosa F. Secuelas del COVID-19, un desafío de la salud pública: Revisión bibliográfica. Vive Rev Salud. 2022; 5 (15): 809-908.

Chow Y., Chin B., Loo J., Moorthy L., Jairaman J., Tan L. Clinical and epidemiological characteristics of patients seeking COVID-19 testing in a private centre in Malaysia: Is there a role for private healthcare in battling the outbreak? PLoS One. 2021; 16 (10): e0258671.

Bussière N., Mei J., Lévesque-Boissonneault C., Blais M., Carazo S., Gros-Louis F. Chemosensory Dysfunctions Induced by COVID-19 Can Persist up to 7 Months: A Study of Over 700 Healthcare Workers. Chem Senses. 2021; 46: bjab038.

Hennawi Y., Alahmadi R., AlOtaibi E., Alosaimi A., Tashkandi G, Saleem N. Olfactory and Gustatory Dysfunctions Following COVID-19 Infection: Factors That Affect Their Duration in Saudi Arabia. Cureus. 2023; 15 (4): e37317.

Stankevice D., Wieck A., Agergaard J., Ovesen T. Long-Term COVID-19 Smell and Taste Disorders Differ Significantly from Other Post-Infectious Cases. The Laryngoscope. 2022; 133 (1): 169-74.

Algahtani S., Alzarroug A., Alghamdi H., Algahtani H., Alsywina N., Abdulrahman K. Investigation on the Factors Associated with the Persistence of Anosmia and Ageusia in Saudi COVID-19 Patients. Int J Environ Res Public Health. 2022; 19 (3): 1047.

Dextre-Vilchez S., Vásquez-Mercado R., Espejo-Sinche J., Carhuallanqui-de la Cruz F. Factores asociados a la anosmia y ageusia en pacientes COVID-19 de una provincia peruana. Iatreia. 2021; 35 (4): 414-23.

Chen J., Mi B., Yan M., Wang Y., Zhu K., Yu C. The effects of comorbidities on the change of taste and smell in COVID-19 patients. Laryngoscope Investig Otolaryngol. 2023; 8 (1): 25-33.

Published

2025-12-11