Evidence map›Paper›PMID 32749606›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2021

Sudden olfactory loss as an early marker of COVID-19: a nationwide Italian survey.

Lucrezia Spadera, Pasquale Viola, Davide Pisani, Alfonso Scarpa, Donatella Malanga, Gerardo Sorrentino, Enrico Madini, Carla Laria, Teodoro Aragona, Gianluca Leopardi and 9 more

Open access · bronzeAbstract read
In one paragraph

Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Neurological and Head/Eyes/Ears/Nose/Throat Manifestations of COVID-19: A Systematic Review and Meta-Analysis.The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques · 2022
    Pooled it
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  5. COVID-19: Where We Are and Where We Are Going.Diseases (Basel, Switzerland) · 2023
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  6. Review
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  9. Tinnitus and equilibrium disorders in COVID-19 patients: preliminary results.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 11 institutions in 2 countries.

Lucrezia SpaderaOtolaryngology, San Leonardo Hospital, Castellammare di Stabia, Naples, Italy.
Pasquale ViolaUnit of Audiology, Department of Experimental and Clinical Medicine, Regional Centre for Cochlear Implants and ENT Diseases, Magna Graecia University, Catanzaro, Italy.
Davide PisaniUnit of Audiology, Department of Experimental and Clinical Medicine, Regional Centre for Cochlear Implants and ENT Diseases, Magna Graecia University, Catanzaro, Italy.
Alfonso ScarpaDepartment of Medicine and Surgery, University of Salerno, Salerno, Italy. alfonsoscarpa@yahoo.it.ORCID http://orcid.org/0000-0001-9219-6175
Donatella MalangaLaboratory of Molecular Oncology, Department of Experimental and Clinical Medicine, Magna Graecia University, Catanzaro, Italy.
Gerardo SorrentinoOtolaryngology, San Leonardo Hospital, Castellammare di Stabia, Naples, Italy.
Enrico MadiniGeneral Practioner, Cremona, Italy.
Carla LariaUnit of Audiology, Department of Neurosciences, Reproductives and Odontostomatologic Sciences, University of Naples "Federico II", Naples, Italy.
Teodoro AragonaOtolaryngology, A.O.U. Ospedali Riuniti, Ancona, Italy.
Gianluca LeopardiOtolaryngology, S. Giuseppe Hospital, Empoli, Florence, Italy.
Giandomenico MaggioreOtolaryngology, Head and Neck Surgery, A.O.U. Careggi, Florence, Italy.
Marco CirioloUnit of Audiology, Department of Experimental and Clinical Medicine, Regional Centre for Cochlear Implants and ENT Diseases, Magna Graecia University, Catanzaro, Italy.
Luigi BoccutoGreenwood Genetic Center, Greenwood, SC, USA.
Raffaella PizzolatoDepartment of Neurology, University of Massachusetts, Medical School, Worcester, MA, USA.
Ludovico AbenavoliDepartment of Health Sciences, University Magna Graecia, Catanzaro, Italy.
Claudia CassandroSurgical Sciences Department, University of Turin, Turin, Italy.
Massimo RalliDepartment of Sense Organs, Sapienza University of Rome, Rome, Italy.
Ettore CassandroDepartment of Medicine and Surgery, University of Salerno, Salerno, Italy.
Giuseppe ChiarellaUnit of Audiology, Department of Experimental and Clinical Medicine, Regional Centre for Cochlear Implants and ENT Diseases, Magna Graecia University, Catanzaro, Italy.
Magna Graecia University · ITUniversity of Salerno · ITAzienda Ospedaliero-Universitaria Careggi · ITAzienda Ospedaliero Universitaria Ospedali Riuniti · ITGreenwood Genetic Center · USIstituti Ospitalieri di Cremona · ITOspedale San Giuseppe · ITSapienza University of Rome · ITUniversity of Massachusetts Chan Medical School · USUniversity of Naples Federico II · ITUniversity of Turin · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe presence of many asymptomatic COVID-19 cases may increase the risks of disease dissemination, mainly for physicians. There are numerous reports on the frequent findings of sudden anosmia or hyposmia, before or at the same time of the typical COVID-19 symptoms onset. The aim of this study was to verify the association of olfactory impairment and COVID-19, providing a basis for subsequent research in the field of COVID-19 clinical heterogeneity.

methodsWe developed a 15-item online questionnaire on "Sudden Olfactory Loss (SOL) and COVID-19" that was administered during March 2020 to Italian general practitioners registered to a social media group.

resultsOne hundred and eighty responses were received. SOL was identified as a significant sign of infection in COVID-19 patients, mainly aged between 30 and 40 years, even in the absence of other symptoms. SOL was present as an initial symptom in 46.7% of subjects, and in 16.7%, it was the only symptom. Among the COVID-19 confirmed cases, SOL occurred as the only symptom in 19.2% of patients.

conclusionSOL could represent a possible early symptom in otherwise asymptomatic COVID-19 subjects. Subjects affected by SOL should be considered as potential COVID-19 cases. LEVEL OF EVIDENCE: 4.

Indexed as

AdultAnosmiaBiomarkersCOVID-19FemaleHumansItalyMaleMiddle AgedOlfaction DisordersSARS-CoV-2Surveys and QuestionnairesBiomarkersAnosmiaCOVID-19HyposmiaNasalScreeningSmellSudden olfactory lossTaste

Identifiers

PMID32749606
PMCPMC7399588
OpenAlexW3047146486

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.