Evidence map›Paper›PMID 32762737›Full record

ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2020

Do olfactory and gustatory psychophysical scores have prognostic value in COVID-19 patients? A prospective study of 106 patients.

Luigi Angelo Vaira, Claire Hopkins, Marzia Petrocelli, Jerome R Lechien, Damiano Soma, Federica Giovanditto, Davide Rizzo, Giovanni Salzano, Pasquale Piombino, Sven Saussez and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

51 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  4. Prevalence and prognosis of otorhinolaryngological symptoms in patients with COVID-19: a systematic review and meta-analysis.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 · 2022
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  18. Gustatory Dysfunction: A Highly Specific and Smell-Independent Symptom of COVID-19.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
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  19. Validity and reliability of a french version of the olfactory disorders questionnaire.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Luigi Angelo VairaMaxillofacial Surgery Operative Unit, University Hospital of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy.
Claire HopkinsGuy's Hospital, King's College, London, UK. clairehopkins@yahoo.com.ORCID http://orcid.org/0000-0003-3993-1569
Marzia PetrocelliMaxillofacial Surgery Operative Unit, Bellaria and Maggiore Hospital, AUSL Bologna, Bologna, Italy.
Jerome R Lechien.
Damiano SomaMaxillofacial Surgery Operative Unit, University Hospital of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy.
Federica GiovandittoMaxillofacial Surgery Operative Unit, University Hospital of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy.
Davide RizzoOtolaryngology Operative Unit, University Hospital of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy.
Giovanni SalzanoMaxillofacial Surgery Unit, University Hospital of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.
Pasquale PiombinoMaxillofacial Surgery Unit, University Hospital of Naples "Federico II", Via Pansini 5, 80131, Naples, Italy.
Sven Saussez.
Giacomo De RiuMaxillofacial Surgery Operative Unit, University Hospital of Sassari, Viale San Pietro 43/B, 07100, Sassari, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe lack of objective data makes it difficult to establish the prognostic value of chemosensitive disorders in coronavirus disease 2019 (COVID-19) patients. We aimed to prospectively monitor patients diagnosed with COVID-19 to see if the severity of olfactory and gustatory dysfunction associates with subsequent disease severity.

methodsMulticentre prospective study that recruited 106 COVID-19 subjects at diagnosis. Chemosensitive functions were assessed with psychophysical tests within 4 days of clinical onset, at 10 and 20 days. Daily body temperature and oxygen saturation were recorded as markers of disease severity alongside need for hospitalisation. The correlation between olfactory and gustatory scores and disease severity was assessed with linear regression analysis.

resultsAt T0, 71 patients (67%) presented with olfactory dysfunction while gustatory impairment was detected in 76 cases (65.6%). Chemosensitive disorders gradually improved over the observation period. No significant correlations were found between T0 chemosensitive scores and final disease severity. The correlation between olfactory scores and fever proved significant at T2 (p = 0.05), while the relationship with gustatory scores was significant at T1 (p = 0.01) and T2 (p <  0.001), however neither was clinically relevant. The correlation between chemosensitive scores and oxygen saturation was significant only for taste at T2 (p <  0.001). Logistic regression analysis found significant correlations between olfactory impairment severity and need for hospitalization at T2 (OR 3.750, p = 0.005).

conclusionsInitial objective olfactory and gustatory scores do not seem to have a significant prognostic value in predicting the severity of the COVID-19 course; however, persistence of olfactory dysfunction at 20 days, associated with a more severe course. Unfortunately, olfactory and gustatory dysfunction do not seem to hold prognostic value at the time of initial diagnosis.

Indexed as

BetacoronavirusAdultCoronavirus InfectionsCOVID-19Disease ProgressionFemaleHospitalizationHumansMaleMiddle AgedOlfaction DisordersPandemicsPneumonia, ViralPredictive Value of TestsPrognosisProspective StudiesAgeusiaAnosmiaCOVID-19GustatoryOlfactory

Identifiers

PMID32762737
PMCPMC7406962

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Registered trials

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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.