Evidence map›Paper›PMID 38435484›Full record

ArticleOTO open

Upper Respiratory Symptoms as Long COVID: Insight from a Multicenter Cohort Study.

Masahiko Okada, Noriyuki Ishida, Sho Kanzaki, Ichiro Kawada, Kengo Nagashima, Hideki Terai, Gaku Hiruma, Ho Namkoong, Takanori Asakura, Katsunori Masaki and 16 more

Open access · goldAbstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Review
  2. Japanese nationwide survey to track the impact of long COVID over 3 years.Environmental health and preventive medicine · 2025
    Article
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

26 authors at 7 institutions in 1 country.

Masahiko OkadaDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Noriyuki IshidaBiostatistics Unit, Clinical and Translational Research Center Keio University Hospital Tokyo Japan.
Sho KanzakiDepartment of Otorhinolaryngology-Head and Neck Surgery Keio University Tokyo Japan.
Ichiro KawadaDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-8536-0018
Kengo NagashimaBiostatistics Unit, Clinical and Translational Research Center Keio University Hospital Tokyo Japan.
Hideki TeraiDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Gaku HirumaBiostatistics Unit, Clinical and Translational Research Center Keio University Hospital Tokyo Japan.
Ho NamkoongDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Takanori AsakuraDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Katsunori MasakiDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Keiko OhginoDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Jun MiyataDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Shotaro ChubachiDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Nobuhiro KodamaDepartment of General Internal Medicine Fukuoka Tokushukai Hospital Fukuoka Japan.
Shunsuke MaedaDepartment of General Internal Medicine Fukuoka Tokushukai Hospital Fukuoka Japan.
Satoshi SakamotoDepartment of Respirology National Hospital Organization Kyushu Medical Center Fukuoka Japan.
Masaki OkamotoDepartment of Respirology National Hospital Organization Kyushu Medical Center Fukuoka Japan.
Yoji NagasakiDepartment of Infectious Disease and Clinical Research Center National Hospital Organization Kyushu Medical Center Fukuoka Japan.
Akira UmedaDepartment of General Medicine, School of Medicine, IUHW Shioya Hospital International University of Health and Welfare (IUHW) Tochigi Japan.
Kazuya MiyagawaDepartment of Pharmacology International University of Health and Welfare Tochigi Japan.
Hisato ShimadaDepartment of Respiratory Medicine International University of Health and Welfare Shioya Hospital Tochigi Japan.
Kazuhiro MinamiDepartment of Internal Medicine Saitama Medical Center Saitama Japan.
Rie HagiwaraDepartment of Internal Medicine Saitama Medical Center Saitama Japan.
Makoto IshiiDepartment of Respiratory Medicine Nagoya University Graduate School of Medicine Nagoya Japan.
Yasunori SatoDepartment of Preventive Medicine and Public Health Keio University School of Medicine Tokyo Japan.
Koichi FukunagaDepartment of Medicine, Division of Pulmonary Medicine Keio University School of Medicine Tokyo Japan.
Keio University · JPInternational University of Health and Welfare · JPKeio University Hospital · JPNational Kyushu Medical Center · JPFukuoka Tokushukai Hospital · JPSocial Insurance Saitama Chuo Hospital · JPNagoya University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to investigate the clinical features of long COVID cases presenting with upper respiratory symptoms, a topic not yet fully elucidated. Study Design: Prospective cohort study. Setting: A multicenter study involving 26 medical facilities in Japan. Methods: Inclusion criteria were patients aged ≥18 years old with a confirmed COVID-19 diagnosis via severe acute respiratory syndrome coronavirus 2 polymerase chain reaction or antigen testing, who were hospitalized at the participating medical facilities. Analyzing clinical information and patient-reported outcomes from 1009 patients were analyzed. The outcome measured the degree of initial symptoms for taste or olfactory disorders and assessed the likelihood of these symptoms persisting as long COVID, as well as the impact on quality of life if the upper respiratory symptoms persisted as long COVID. Results: Patients with high albumin, low C-reactive protein, and low lactate dehydrogenase in laboratory tests tended to experience taste or olfactory disorders as part of long COVID. Those with severe initial symptoms had a higher risk of experiencing residual symptoms at 3 months, with an odds ratio of 2.933 (95% confidence interval [CI], 1.282-6.526) for taste disorders and 3.534 (95% CI, 1.382-9.009) for olfactory disorders. Presence of upper respiratory symptoms consistently resulted in lower quality of life scores. Conclusion: The findings from this cohort study suggest that severe taste or olfactory disorders as early COVID-19 symptoms correlate with an increased likelihood of persistent symptoms in those disorders as long COVID.

Indexed as

COVID‐19long COVIDolfactory disordertaste disorderupper respiratory symptoms

Identifiers

PMID38435484
PMCPMC10909391
OpenAlexW4392402654

What OpenQuestion holds

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LicenceCC BY
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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.