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Frequency of olfactory dysfunction in pregnant women with SARS-CoV-2 infection.
Carranza-Lira, Sebastián; García-Espinosa, Maritza; Moreno-Álvarez, Oscar.
  • Carranza-Lira S; Health Research Division.
  • García-Espinosa M; Clinical Department for Complications of the Second Half of Pregnancy.
  • Moreno-Álvarez O; General Director's Office, Hospital de Gineco-Obstetricia 4 "Luis Castelazo Ayala", Instituto Mexicano del Seguro Social. Mexico City, Mexico.
Gac Med Mex ; 157(3): 245-250, 2021.
Article in English | MEDLINE | ID: covidwho-1604118
ABSTRACT

INTRODUCTION:

In patients with COVID-19, olfactory dysfunction and anosmia have been reported, which in pregnant women occur in up to 24.2 %.

OBJECTIVE:

To know the frequency at which pregnant women with SARS-CoV-2 infection have olfactory dysfunction.

METHODS:

Age, gestational age, temperature, presence of nasal constipation or rhinorrhea, myalgia, headache, cough or chest pain were asked. Whether patients perceived and identified the scent of grape juice, coffee powder and menthol was evaluated. Central tendency and dispersion measures, frequencies and percentages were used. Sensitivity, specificity, positive and negative predictive value were calculated. Mann-Whitney's U-test and contrast of proportions were used for comparisons between groups.

RESULTS:

There was a higher proportion of women with cough, headache, dyspnea, myalgia, odynophagia, rhinorrhea, chest pain, and anosmia in SARS-CoV-2-positive women. In patients without COVID-19, 88.9 % detected each one of the scents; only 31.8 % of the positive group detected grapes scent, 47.7 % coffee and 59.1 % menthol, which had the highest percentages of sensitivity (40 %), specificity (21 %), positive predictive value (59 %) and negative predictive value (11 %).

CONCLUSION:

Olfactory dysfunction occurs in a significant percentage of pregnant women with COVID-19.
RESUMEN

INTRODUCCIÓN:

En pacientes con COVID-19 se ha reportado disfunción olfatoria y anosmia; en la mujer embarazada se presenta hasta en 24.2 %.

OBJETIVO:

Conocer la frecuencia con la que las mujeres embarazadas e infección por SARS-CoV-2 tienen disfunción olfatoria.

MÉTODOS:

Se preguntó edad, edad gestacional, temperatura, presencia de constipación nasal o rinorrea, mialgias, cefalea, tos o dolor torácico, además de evaluar si las mujeres percibían e identificaban el aroma de jugo de uva, café en polvo y mentol. Se utilizaron medidas de tendencia central y dispersión, frecuencias y porcentajes. Se calculó sensibilidad, especificidad, valor predictivo positivo y negativo. La U de Mann-Whitney y el contraste de proporciones sirvieron para las comparaciones entre los grupos.

RESULTADOS:

Hubo mayor proporción de mujeres con tos, cefalea, disnea, mialgias, odinofagia, rinorrea, dolor torácico y anosmia en mujeres positivas a SARS-CoV-2. De las pacientes sin COVID-19, 88.9 % detectó cada uno de los aromas; solo 31.8 % del grupo positivo detectó el aroma a uva, 47.7 % el de café y 59.1 % el de mentol, el cual tuvo los porcentajes más altos en sensibilidad (40 %), especificidad (21 %), valores predictivos positivo (59 %) y negativo (11 %).

CONCLUSIÓN:

la disfunción olfatoria se presenta en un porcentaje importante de las mujeres embarazadas con COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Anosmia / COVID-19 / Olfaction Disorders Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adolescent / Adult / Female / Humans / Pregnancy / Young adult Language: English Journal: Gac Med Mex Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pregnancy Complications, Infectious / Anosmia / COVID-19 / Olfaction Disorders Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Adolescent / Adult / Female / Humans / Pregnancy / Young adult Language: English Journal: Gac Med Mex Year: 2021 Document Type: Article