Evidence map›Paper›PMID 33646505›Full record

ArticleInfection2021

COVID-19 anosmia and gustatory symptoms as a prognosis factor: a subanalysis of the HOPE COVID-19 (Health Outcome Predictive Evaluation for COVID-19) registry.

Jesús Porta-Etessam, Iván J Núñez-Gil, Nuria González García, Cristina Fernandez-Perez, María C Viana-Llamas, Charbel Maroun Eid, Rodolfo Romero, María Molina, Aitor Uribarri, Victor Manuel Becerra-Muñoz and 15 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04334291 (International COVID19 Clinical Evaluation Registry), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 3% 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.

NCT04334291 completednot on this map

International COVID19 Clinical Evaluation Registry: HOPECOVID19. (Health Outcome Predictive Evaluation for COVID19)

Typeobservational_patient_registrySponsorIVAN J NUÑEZ GILRan2020 to 2020Enrolled8,168ConditionsCOVID 19ArmsObservational (registry)
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Systematic review and meta-analysis of olfactory and gustatory dysfunction in COVID-19.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Pooled it
  2. Prognosis of patients with coronavirus disease with or without anosmia: A systematic review.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2025
    Review
  3. Observational
  4. Article
  5. Post-acute sequelae of COVID-19 in solid organ transplant recipients.Transplant infectious disease : an official journal of the Transplantation Society · 2023
    Article
  6. [Subtle and subclinical neurological findings in patients with SARS-CoV-2].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Observational
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  18. Observational
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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

25 authors at 20 institutions in 4 countries.

Jesús Porta-EtessamHospital Clínico San Carlos, Madrid, Spain. jporta@yahoo.com.ORCID http://orcid.org/0000-0002-7034-682X
Iván J Núñez-GilHospital Clínico San Carlos, Madrid, Spain.
Nuria González GarcíaHospital Clínico San Carlos, Madrid, Spain.
Cristina Fernandez-PerezInstituto para la Mejora de la Asistencia Sanitaria, Madrid, Spain.
María C Viana-LlamasHospital Universitario Guadalajara, Guadalajara, Spain.
Charbel Maroun EidHospital Universitario La Paz. Instituto de Investigación Hospital Universitario La Paz (IdiPAZ), Madrid, Spain.
Rodolfo RomeroHospital Universitario Getafe, Madrid, Spain.
María MolinaHospital Universitario Severo Ochoa, Leganés, Spain.
Aitor UribarriHospital Clínico Universitario de Valladolid, Valladolid, Spain.
Victor Manuel Becerra-MuñozHospital Clínico Universitario Virgen de La Victoria, Málaga, Spain.
Marcos García AguadoHospital Puerta de Hierro de Majadahonda, Madrid, Spain.
Jia HuangThe Second Affiliated Hospital of Southern, University of Science and Technology Shenzhen, Shenzhen, China.
Elisa RondanoSant'Andrea Hospital, Vercelli, Italy.
Enrico CerratoSan Luigi Gonzaga University Hospital, Orbassano and Rivoli Infermi Hospital, Rivoli, Turin, Italy.
Emilio AlfonsoInstitute of Cardiology and Cardiovascular Surgery, Havana, Cuba.
Alex Fernando Castro MejíaHospital General del Norte de Guayaquil IESS Los Ceibos, Guayaquil, Ecuador.
Francisco MarinHospital Universitario Virgen de La Arrixaca, Murcia, Spain.
Sergio Raposeiras RoubinHospital Universitario Álvaro Cunqueiro, Vigo, Spain.
Martino PepeAzienda Ospedaliero-Universitaria Consorziale Policlinico Di Bari, Bari, Italy.
Gisela FeltesHospital Nuestra Señora de América, Madrid, Spain.
Paloma MatéHospital Universitario Infanta Sofia, San Sebastian de Los Reyes, Madrid, Spain.
Bernardo CorteseSan Carlo Clinic, Milano, Italy.
Luis BuzónHospital Universitario de Burgos, Burgos, Spain.
Jorge Játiva MendezHospital de Especialidades de Las Fuerzas Armadas N1, Quito, Ecuador.
Vicente EstradaHospital Clínico San Carlos, Madrid, Spain.
Hospital Clínico San Carlos · ESAzienda Universitaria Ospedaliera Consorziale - Policlinico Bari · ITCTO Andrea Alesini · ITFundación Instituto para la Mejora de la Asistencia Sanitaria · ESHospital Clínico Universitario de Valladolid · ESHospital Clínico Universitario Virgen de la Victoria · ESHospital Nuestra Señora de Alarcos · ESHospital Universitario de Burgos · ESHospital Universitario de Getafe · ESHospital Universitario de Guadalajara · ESHospital Universitario Infanta Sofía · ESHospital Universitario La Paz · ESHospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario Severo Ochoa · ESHospital Universitario Virgen de la Arrixaca · ESOspedale San Carlo · ITOspedale San Luigi Gonzaga · ITSouthern University of Science and Technology · CNUniversidad Complutense de Madrid · ESUniversity Hospital Complex Of Vigo · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Olfactory and gustatory dysfunctions (OGD) are a frequent symptom of coronavirus disease 2019 (COVID-19). It has been proposed that the neuroinvasive potential of the novel SARS-CoV-2 could be due to olfactory bulb invasion, conversely studies suggest it could be a good prognostic factor. The aim of the current study was to investigate the prognosis value of OGD in COVID-19. These symptoms were recorded on admission from a cohort study of 5868 patients with confirmed or highly suspected COVID-19 infection included in the multicenter international HOPE Registry (NCT04334291). There was statistical relation in multivariate analysis for OGD in gender, more frequent in female 12.41% vs 8.67% in male, related to age, more frequent under 65 years, presence of hypertension, dyslipidemia, diabetes, smoke, renal insufficiency, lung, heart, cancer and neurological disease. We did not find statistical differences in pregnant (p = 0.505), patient suffering cognitive (p = 0.484), liver (p = 0.1) or immune disease (p = 0.32). There was inverse relation (protective) between OGD and prone positioning (0.005) and death (< 0.0001), but no with ICU (0.165) or mechanical ventilation (0.292). On univariable logistic regression, OGD was found to be inversely related to death in COVID-19 patients. The odds ratio was 0.26 (0.15-0.44) (p < 0.001) and Z was - 5.05. The presence of anosmia is fundamental in the diagnosis of SARS.CoV-2 infection, but also could be important in classifying patients and in therapeutic decisions. Even more knowing that it is an early symptom of the disease. Knowing that other situations as being Afro-American or Latino-American, hypertension, renal insufficiency, or increase of C-reactive protein (CRP) imply a worse prognosis we can make a clinical score to estimate the vital prognosis of the patient. The exact pathogenesis of SARS-CoV-2 that causes olfactory and gustative disorders remains unknown but seems related to the prognosis. This point is fundamental, insomuch as could be a plausible way to find a treatment.

Indexed as

SARS-CoV-2AgedAnosmiaCohort StudiesCOVID-19FemaleHumansMaleMiddle AgedMultivariate AnalysisPrognosisRegistriesRisk FactorsTaste DisordersAnosmiaCOVID-19HospitalPathophysiologyPrognosisSARS-COV-2

Identifiers

PMID33646505
PMCPMC7917537
OpenAlexW3127004341

What OpenQuestion holds

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Registered trials

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.