One-Seventh of Patients with COVID-19 Had Olfactory and Gustatory Abnormalities as Their Initial Symptoms: A Systematic Review and Meta-Analysis

Coronavirus disease 2019 (COVID-19) patients exhibited protean clinical manifestations. Olfactory and gustatory abnormalities (anosmia and ageusia) were observed in COVID-19 patients, but the reported prevalence varied. In this systematic review, the prevalence of olfactory and gustatory abnormaliti...

Ամբողջական նկարագրություն

Մատենագիտական մանրամասներ
Հիմնական հեղինակներ: Hsin Chi, Nan-Chang Chiu, Chun-Chih Peng, Chao-Hsu Lin, Yu-Lin Tai, Ming-Dar Lee, Yu-Jyun Cheng, Boon Fatt Tan, Chien-Yu Lin
Ձևաչափ: Հոդված
Լեզու:English
Հրապարակվել է: MDPI AG 2020-08-01
Շարք:Life
Խորագրեր:
Առցանց հասանելիություն:https://www.mdpi.com/2075-1729/10/9/158
Նկարագրություն
Ամփոփում:Coronavirus disease 2019 (COVID-19) patients exhibited protean clinical manifestations. Olfactory and gustatory abnormalities (anosmia and ageusia) were observed in COVID-19 patients, but the reported prevalence varied. In this systematic review, the prevalence of olfactory and gustatory abnormalities (OGA) was evaluated in laboratory-confirmed COVID-19 patients. On 8 May 2020, 14,506 articles were screened, while 12 of them were enrolled. A total of 1739 COVID-19 patients were analyzed, with a wide range of prevalence observed (5.6–94%). The pooled prevalence was 48.5% with high heterogeneity (<i>I</i><sup>2</sup>, 98.8%; <i>p</i> < 0.0001). In total, 15.5% had OGA as their first symptom (<i>I</i><sup>2</sup>, 22.6%; <i>p</i> = 0.27) among the patients analyzed. Contradictory to COVID-19 negative controls, patients with COVID-19 had a higher risk of OGA (odds ratio, 5.3; <i>I</i><sup>2</sup>, 66.5%; <i>p</i> = 0.03). In conclusion, approximately half of COVID-19 patients had OGA, and one-seventh of them had OGA as their initial symptoms. OGA were cardinal symptoms of COVID-19, which may serve as clues for early diagnosis. Diagnostic testing for SARS-CoV-2 was suggested in patients with OGA during the COVID-19 pandemic to ensure timely diagnosis and appropriate quarantine.
ISSN:2075-1729