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Prevalence and associated factors of dysphonia in non-hospitalized Thai COVID-19 patients: a descriptive study with Thai-VHI10 Assessment Cover

Prevalence and associated factors of dysphonia in non-hospitalized Thai COVID-19 patients: a descriptive study with Thai-VHI10 Assessment

Open Access
|Dec 2024

Figures & Tables

General characteristics of the participants

N = 82
Sex, n (%)
  Male13 (15.9)
  Female69 (84.1)
Age (years), mean ± SD34.67 ± 9.76
BMI level (kg/m2), n (%)
  <18.513 (15.9)
  18.5–22.936 (43.9)
  23.0–29.924 (29.3)
  >30.09 (11.0)
  Underlying disease, n (%)3 (3.7)
  Chronic respiratory disease2 (2.4)
  Stroke1 (1.2)
  Smoking, n (%)3 (3.7)
  Alcohol consumption, n (%)17 (20.7)
  Heartburn, n (%)4 (4.9)
Symptoms of COVID-19, n (%)
  Cough73 (89.0)
  Nasal discharge64 (78.0)
  Sputum68 (82.9)

Univariate analysis of factors related to dysphonia following COVID-19 infection

FactorsDysphonia (n = 53)Normal (n = 29)Crude OR (95% CI)P
BMI level (kg/m2), n (%)
  18.5–22.925 (47.2)11 (37.9)Reference
  <18.56 (11.3)7 (24.1)0.38 (0.10, 1.39)0.142
  23.0–29.916 (30.2)8 (27.6)0.88 (0.29, 2.66)0.821
  >30.06 (11.3)3 (10.3)0.88 (0.19, 4.17)0.872
  Smoking, n (%)2 (3.8)1 (3.4)1.10 (0.09, 12.65)0.940
  Alcohol consumption, n (%)13 (24.5)4 (13.8)2.03 (0.60, 6.93)0.258
  Heartburn, n (%)4 (7.5)0 (0.0)NA
Symptoms of COVID-19, n (%)
  Cough51 (96.2)22 (75.9)8.11 (1.56, 42.21)0.013*
  Nasal discharge45 (84.9)19 (65.5)2.96 (1.01, 8.66)0.047*
  Sputum47 (88.7)21 (72.4)2.98 (0.92, 9.68)0.069
Number of COVID-19 symptoms, n (%)
  None/1 symptom2 (3.8)9 (31.0)Reference
  2 Symptoms12 (22.6)6 (20.7)9.00 (1.46, 55.48)0.018*
  3 Symptoms39 (73.6)14 (48.3)12.54 (2.41, 65.23)0.003*
Number of booster dose with mRNA vaccine, n (%)
  1 dose8 (15.8)4 (13.9)0.50 (0.04, 6.08)0.500
  2 doses22 (43.1)13 (44.8)0.42 (0.04, 4.20)0.423
  3 doses17 (33.3)11 (37.9)0.39 (0.04, 3.93)0.386
  None4 (7.8)1 (3.4)Reference

Voice Handicap Index-10

During COVID-19 infection3 months after COVID-19 infectionP
VHI-10, median (IQR)11.5 (2.75, 21)0 (0, 3)<0.001*
VHI-10 (n = 82), n (%)
  <7 (Normal)29 (35.4)68 (82.9)<0.001*
  >7 (Dysphonia)53 (64.6)14 (17.1)
VHI-10 improve (n = 53), n (%)
  <7 (Normal) 39 (73.6)
  >7 (Dysphonia) 14 (26.4)

Multivariate analysis of factors related to dysphonia following COVID-19 infection

FactorsAdjusted OR (95% CI)P
BMI level (kg/m2)
  18.5–22.9Reference
  <18.50.30 (0.07, 1.33)0.113
  23.0–29.90.49 (0.14, 1.74)0.268
  >30.00.76 (0.13, 4.58)0.762
Symptoms of COVID-19
  Cough8.53 (1.41, 51.45)0.019*
  Nasal discharge1.99 (0.56, 7.02)0.287
  Sputum2.50 (0.61, 10.17)0.201
  At least one dose of mRNA vaccine0.68 (0.20, 2.28)0.531
DOI: https://doi.org/10.2478/abm-2024-0037 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 297 - 302
Published on: Dec 16, 2024
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2024 Thitaree Suwannutsiri, Peerada Arreenich, Premsuda Sombuntham, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution 4.0 License.