Evidence map›Paper›PMID 35151176›Full record

ArticleAmerican journal of otolaryngology

Five-item odorant test as an indicator of COVID-19 infection in a general population.

Rahul A Patel, Sina J Torabi, David A Kasle, R Peter Manes

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of otolaryngology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04431908 (Validation of a Rapid Quantitative Test for Loss of Smell in COVID-19 Subjects), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 44% 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.

NCT04431908 completednot on this map

Validation of a Rapid Quantitative Test for Loss of Smell in COVID-19 Subjects

TypeobservationalSponsorYale UniversityRan2020 to 2020Enrolled1,320ConditionsCOVID-19Armsolfactory device
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Rahul A PatelFrank H. Netter M.D. School of Medicine at Quinnipiac University, North Haven, CT, United States of America; Department of Surgery (Division of Otolaryngology), Yale University School of Medicine, New Haven, CT, United States of America.
Sina J TorabiDepartment of Surgery (Division of Otolaryngology), Yale University School of Medicine, New Haven, CT, United States of America; Department of Otolaryngology-Head and Neck Surgery, University of California Irvine, Orange, CA, United States of America.
David A KasleDepartment of Surgery (Division of Otolaryngology), Yale University School of Medicine, New Haven, CT, United States of America.
R Peter ManesDepartment of Surgery (Division of Otolaryngology), Yale University School of Medicine, New Haven, CT, United States of America. Electronic address: rpeter.manes@yale.edu.
Yale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the utility of a 5-item odorant test (U-Smell-It™) in determining COVID-19 status in COVID-19 polymerase chain reaction (PCR)-positive and -negative participants.

methodsSymptoms, COVID-19 status, and 5-item odorant test results were collected from general population COVID-19 testing in Louisiana (n = 1042), and routine COVID-19 screening of healthcare workers in a nursing home in Florida (n = 278) (ClinicalTrials.gov Identifier: NCT04431908).

resultsIn the general population COVID-19 testing site, a cutoff point of ≤2 (0, 1, or 2 correct answers out of 5) achieved sensitivity of 40.0% (95% CI: 26.4%-54.8%) and specificity of 89.2% (95% CI: 87.1%-91.1%) in detecting COVID-19 infection. Within this population, analysis of individuals with no self-reported loss of smell/taste and runny/stuffy nose resulted in sensitivity of 38.1% (95% CI: 18.1%-61.6%) and specificity of 92.3% (95% CI: 89.1%-93.4%), while analysis of individuals with self-reported loss of smell/taste and/or runny/stuffy nose resulted in sensitivity of 41.4% (95% CI: 23.5%-61.1%) and specificity of 82.4% (95% CI: 77.7%-86.5%).

conclusionsThe quick turnaround time, low cost, reduced resource requirement, and ease of administering odorant tests provide many advantages as an indicator sign to help flag a molecular diagnostic COVID-19 test with relatively high specificity. Our results suggest that this odorant testing for olfactory dysfunction may be a viable option in pre-screening COVID-19 infection. This tool has the potential to allow for continued monitoring and surveillance, while helping mitigate surges of COVID-19 variants. Further investigation is warranted to observe the extent to which odorant testing might be applied in a serial testing scenario.

Indexed as

COVID-19Olfaction DisordersCOVID-19 TestingHumansOdorantsSARS-CoV-2COVID-19Odorant testingOlfactory dysfunctionRhinology

Identifiers

PMID35151176
PMCPMC8800163
OpenAlexW4210544506

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.