Evidence map›Paper›PMID 35398877›Full record

ArticleRhinology2022

A follow-up on quantitative and qualitative olfactory dysfunction and other symptoms in patients recovering from COVID-19 smell loss.

K Ohla, M G Veldhuizen, T Green, M E Hannum, A J Bakke, S T Moein, A Tognetti, E M Postma, R Pellegrino, D L D Hwang and 31 more

Open access · bronzeAbstract read
In one paragraph

Article in Rhinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 3 pooled it
10.6field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 3 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Classical and Speech Therapy Olfactory Training in the Treatment of COVID-19-Related Olfactory Disorders.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  7. Unique and shared patterns of chemosensory dysfunction distinguish chronic COVID-19 and aspirin-exacerbated respiratory disease.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2026
    Article
  8. Article
  9. The Need to Promote Olfactory Health in Public Health Agendas Across the Globe.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026
    Review
  10. Parosmia: Pathophysiology and Management.Current allergy and asthma reports · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. The long-term effect of COVID-19 infection on olfaction and taste; a prospective 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 · 2024
    Observational
  15. Article
  16. Article
  17. Review
  18. Review
  19. Impact of olfactory disorders on personal safety and well-being: a cross-sectional observational study.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 · 2024
    Observational
  20. COVID-19-related chemosensory changes: Findings from a prospective national database.World journal of otorhinolaryngology - head and neck surgery · 2024
    Article

4 more citing papers are in PubMed but not listed here.

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

41 authors at 20 institutions in 14 countries.

K OhlaHelmut-Schmidt-University, University of the Armed Forces Hamburg, Germany; Firmenich SA, Satigny, Switzerland; The Pennsylvania State University, USA.
M G VeldhuizenMersin University, Turkey.
T GreenThe Hebrew University of Jerusalem, Israel.
M E HannumMonell Chemical Senses Center, Philadelphia, USA.
A J BakkeThe Pennsylvania State University, USA.
S T MoeinInstitute for Research in Fundamental Sciences (IPM), Iran.
A TognettiKarolinska Institutet, Stockholm, Sweden.
E M PostmaWageningen University and Research, the Netherlands.
R PellegrinoMonell Chemical Senses Center, Philadelphia, USA.
D L D HwangThe University of Queensland, Australia.
J AlbayayUniversity of Trento, Italy.
S KoyamaIndiana University, USA.
A A NoldenUniversity of Massachusetts, Amherst, USA.
T Thomas-DanguinINRAE, CSGA, France.
C Mucignat-CarettaUniversity of Padova, Italy.
N S MengerUniversity of Tübingen, Germany.
I CroijmansUtrecht University, the Netherlands.
L Ã-ztà RkMersin University, Turkey.
H YanÄ KMersin University, Turkey.
D PierronCNRS, France.
V Pereda-LothUniversité Toulouse III, France.
A Nunez-ParraUniversity of Chile, Chile.
A M Martinez PinedaUniversité Toulouse III, France.
D GillespieUniversity College London, UK.
M C FarruggiaYale University, USA.
C CecchettoUniversity of Padova, Italy.
M A FornazieriUniversidade Estadual de Londrina, Brazil.
C PhilpottUniversity of East Anglia, UK.
V VoznessenskayaSevertsov Institute of Ecology and Evolution, Moscow, Russia.
K W CooperUniversity of California, Irvine, USA.
P Rohlfs DominguezUniversidad del Palas Vasco, Euskal Herriko Unibertsitatea, Spain.
O Calcinoniprivate practice, VMPCT, Italy.
J de GrootRadboud University, the Netherlands.
S BoesveldtWageningen University and Research, the Netherlands.
S BhutaniSan Diego State University, USA.
E M WeirThe Pennsylvania State University, USA.
C ExtenThe Pennsylvania State University, USA.
P V JosephNational Institutes of Health, NINR, NIAAA, USA.
V ParmaMonell Chemical Senses Center, Philadelphia, USA.
J E HayesThe Pennsylvania State University, USA.
M Y NivThe Hebrew University of Jerusalem, Israel.
Pennsylvania State University · USMersin Üniversitesi · TRHebrew University of Jerusalem · ILMonell Chemical Senses Center · USUniversité Toulouse III - Paul Sabatier · FRUniversity of Padua · ITWageningen University & Research · NLCentre National de la Recherche Scientifique · FRIndiana University · USInstitute for Research in Fundamental Sciences · IRInstitut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement · FRKarolinska Institutet · SERadboud University Nijmegen · NLSan Diego State University · USSevertsov Institute of Ecology and Evolution · RUThe University of Queensland · AUUniversidade Estadual de Londrina · BRUniversity College London · GBUniversity of California, Irvine · USUniversity of Chile · CL

Funding

INTERDISCIPLINARY TRAINING IN THE CHEMICAL SENSEST32DC000014 · NIDCD · MONELL CHEMICAL SENSES CENTER · PI PAMELA HELEN DALTON, Joel D Mainland · 1989 to 2026
$6.2M
Sensory Science and Metabolism; Molecular and Neuronal Mechanisms ZIAAA000136 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI JOSEPH, PAULE · 2021 to 2025
$3.2M
Mechanisms Underlying Individual Variations of Taste and Smell in ObesityZIAAA000135 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI JOSEPH, PAULE · 2021 to 2025
$1.2M
Individual Variations of Taste and Smell Perception in Alcohol Use Disorder (AUD) ZIAAA000139 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI JOSEPH, PAULE · 2023 to 2025
$1.2M
Neurobiology of chemosensation, reward and eating behaviors; molecular and neuronal mechanisms along the gut-brain-axis in animal modelsZIAAA000137 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI JOSEPH, PAULE · 2021 to 2025
$905k
Chemosensation and COVID-19ZIAAA000138 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI JOSEPH, PAULE · 2022 to 2024
$188k
Biophysical models of human olfactory intensity perceptionF32DC020380 · NIDCD · MONELL CHEMICAL SENSES CENTER · PI PELLEGRINO, ROBERT · 2022 to 2023
$111k
Development of a novel approach to characterize human chemosensory perceptionF32DC020100 · NIDCD · MONELL CHEMICAL SENSES CENTER · PI HANNUM, MACKENZIE E · 2021 to 2021
$46k
Intramural NIH HHS Z99 AA999999Intramural NIH HHS ZIA AA000135Intramural NIH HHS ZIA AA000136Intramural NIH HHS ZIA AA000137Intramural NIH HHS ZIA AA000138Intramural NIH HHS ZIA AA000139NIDCD NIH HHS F32 DC020100NIDCD NIH HHS F32 DC020380NIDCD NIH HHS T32 DC000014
6 · The paper itself

Abstract

backgroundSudden smell loss is a specific early symptom of COVID-19, which, prior to the emergence of Omicron, had estimated prevalence of ~40% to 75%. Chemosensory impairments affect physical and mental health, and dietary behavior. Thus, it is critical to understand the rate and time course of smell recovery. The aim of this cohort study was to characterize smell function and recovery up to 11 months post COVID-19 infection.

methodsThis longitudinal survey of individuals suffering COVID-19-related smell loss assessed disease symptoms and gustatory and olfactory function. Participants (n=12,313) who completed an initial survey (S1) about respiratory symptoms, chemosensory function and COVID-19 diagnosis between April and September 2020, were invited to complete a follow-up survey (S2). Between September 2020 and February 2021, 27.5% participants responded (n=3,386), with 1,468 being diagnosed with COVID-19 and suffering co-occurring smell and taste loss at the beginning of their illness.

resultsAt follow-up (median time since COVID-19 onset ~200 days), ~60% of women and ~48% of men reported less than 80% of their pre-illness smell ability. Taste typically recovered faster than smell, and taste loss rarely persisted if smell recovered. Prevalence of parosmia and phantosmia was ~10% of participants in S1 and increased substantially in S2: ~47% for parosmia and ~25% for phantosmia. Persistent smell impairment was associated with more symptoms overall, suggesting it may be a key marker of long-COVID illness. The ability to smell during COVID-19 was rated slightly lower by those who did not eventually recover their pre-illness ability to smell at S2.

conclusionsWhile smell ability improves for many individuals who lost it during acute COVID-19, the prevalence of parosmia and phantosmia increases substantially over time. Olfactory dysfunction is associated with broader persistent symptoms of COVID-19, and may last for many months following acute COVID-19. Taste loss in the absence of smell loss is rare. Persistent qualitative smell symptoms are emerging as common long-term sequelae; more research into treatment options is strongly warranted given that even conservative estimates suggest millions of individuals may experience parosmia following COVID-19. Healthcare providers worldwide need to be prepared to treat post COVID-19 secondary effects on physical and mental health.

Indexed as

AgeusiaCOVID-19Olfaction DisordersAnosmiaCohort StudiesCOVID-19 TestingFemaleFollow-Up StudiesHumansMalePost-Acute COVID-19 SyndromeSARS-CoV-2Smell

Identifiers

PMID35398877
PMCPMC11016179
OpenAlexW4223474849

What OpenQuestion holds

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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.