Long-COVID impacts taste and olfactory in individuals with substance use disorder: A retrospective cohort study from the TriNetX US Collaborative Networks

Psychiatry Res. 2024 Jul:337:115970. doi: 10.1016/j.psychres.2024.115970. Epub 2024 May 17.

Abstract

Substance use disorder (SUD) exacerbates the impact of Long-COVID, particularly increasing the risk of taste and olfactory disorders. Analyzing retrospective cohort data from TriNetX and over 33 million records (Jan 2020-Dec 2022), this study focused on 1,512,358 participants, revealing that SUD significantly heightens the likelihood of experiencing taste disturbances and anosmia in Long-COVID sufferers. Results indicated that individuals with SUD face a higher incidence of sensory impairments compared to controls, with older adults and women being particularly vulnerable. Smokers with SUD were found to have an increased risk of olfactory and taste dysfunctions. The findings underscore the importance of early screening, diagnosis, and interventions for Long-COVID patients with a history of SUD, suggesting a need for clinicians to monitor for depression and anxiety linked to sensory dysfunction for comprehensive care.

Keywords: Alcohol; Drug abuse; Opioids; Smell; Smoker.

MeSH terms

  • Adult
  • Aged
  • Anosmia / epidemiology
  • Anosmia / etiology
  • Anosmia / physiopathology
  • COVID-19* / complications
  • COVID-19* / epidemiology
  • COVID-19* / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Olfaction Disorders* / epidemiology
  • Olfaction Disorders* / etiology
  • Olfaction Disorders* / physiopathology
  • Post-Acute COVID-19 Syndrome
  • Retrospective Studies
  • Substance-Related Disorders* / epidemiology
  • Taste Disorders* / epidemiology
  • Taste Disorders* / etiology
  • United States / epidemiology
  • Young Adult