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Dysphonia Severity Index and Consensus Auditory-Perceptual Evaluation of Voice Outcomes, and Their Relation in Hospitalized Patients With Covid-19 Publisher



Aghadoost S1 ; Molazeinal Y2 ; Khoddami SM1 ; Shokuhifar G3 ; Dabirmoghaddam P4 ; Saffari M5
Authors
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Authors Affiliations
  1. 1. Department of Speech Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Tehran, Iran
  2. 2. School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Tehran, Iran
  3. 3. Department of audiology, University of Social Welfare and Rehabilitation, Tehran, Tehran, Iran
  4. 4. Otolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Tehran, Iran
  5. 5. Department of radiology, faculty of medicine, Kashan University of Medical Sciences, Tehran, Tehran, Iran

Source: Journal of Voice Published:2023


Abstract

Objectives: This study aimed to compare the results of the Dysphonia Severity Index (DSI) and Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) between patients hospitalized with COVID-19 and healthy subjects, as well as to investigate the correlation between DSI and CAPE-V. Study design: Cross-sectional survey. Material and Methods: Eighty subjects, 40 COVID-19 patients (with a mean age of 41.2± 5.41) and 40 healthy subjects (with a mean age of 44.50± 3.50) participated in this study. Assessments included the DSI for aerodynamic-acoustic measurement and the Persian version of Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) for evaluating auditory-perceptual voice quality. Data were analyzed by means of the independent t-test and Pearson correlation at the 5% significance level. Results: The results showed COVID-19 patients got significantly lower score in DSI compared to healthy subjects (P < 0.05). Moreover, the patients with COVID-19 had higher scores in all categories of voice production (severity, roughness, loudness, pitch, strain and breathiness) than the healthy group (P < 0.05). Comparing the result of the two voice assessments in each group revealed that there was a greater negative significant correlation in the diseased group (r p: -0.68, P: 0.001) than in the healthy group (r p: -0.37,P: 0.049). Conclusions: Hospitalized COVID-19 patients experience deviations in the voice quality and acoustic-aerodynamic features of their voice. Also, the results of this study showed the patient group had higher perceptual dysphonia and lower voice quality compared to the healthy group. Further studies are recommended to determine the relationship between objective and subjective voice evaluation in patients with COVID-19 after recovery. © 2022 The Voice Foundation