This study is designed to investigate the acuity of olfactory dysfunction in COVID-19 positive patients in the United Kingdom. In particular defining severity with objective testing and determining if this has any predictive value on the outcome of the SARS CoV-2 infection. In addition, this study will strive to determine duration / natural history of olfactory dysfunction in these patients in respect to a positive SARS CoV-2 diagnosis. It should also demonstrate the impact of olfactory dysfunction on patient Quality of Life (QOL).
The main objective of this study is to evaluate olfactory acuity by means of a
multidimensional assessment protocol to objectively demonstrate the severity of olfactory
dysfunction in patients diagnosed with SARS CoV-2. The University of Pennsylvania Smell
Identification Test (UPSIT) will be used to assess olfactory function in newly diagnosed
patients and also existing patients longitudinally over a 12-month period. This is to
document onset (where possible) and rate of progress of olfactory dysfunction.
In relevant cases, the investigators will correlate their findings with severity of the Acute
Respiratory Distress Syndrome (ARDS) arising as a result of the infection - characterised as
mild, moderate and severe according to the Berlin classification. The investigators will
therefore determine if the degree of olfactory dysfunction correlates in any manner to the
severity of ARDS developed in a positive SARS CoV-2 patient and if it offers any
prognosticative applications.
The investigators will also examine the impact of the symptom of olfactory dysfunction on
patient Quality of Life using two validated tools known as the Questionnaire of Olfactory
Disorders for English speakers (eQOD) and the SNOT-22 questionnaire.
Furthermore, outcomes will be explored and stratified in terms of age, gender and ethnicity
Inclusion Criteria:
- Patients who are presenting to hospital with symptoms of SARS CoV-2 infection.
- Patients who go on to develop a positive SARS CoV-2 test.
- Patients who can give a valid written informed consent.
- Patients who are motivated to participate in the study.
- Adult patients aged 18 years - 85 years.
Exclusion Criteria:
- Patients who cannot give a valid written informed consent.
- Patients who are not willing or not motivated to participate in the study.
- Patients with negative SARS CoV-2 tests.
- Patients with nasal pathologies like severe deviated nasal septum, nasal masses, head
trauma or previously known chronic rhinosinusitis with polyps or on medication for
more than 6 months/year for at least one year for chronic rhinosinusitis.
- Patients with any diagnosed neurological disease known to affect olfactory function
will be excluded from the study.
- Patients unable to read in the English language.
Addenbrookes Hospital
Cambridge, United Kingdom
Charing Cross Hospital
London, United Kingdom
Royal Cornwall Hospital
Truro, United Kingdom