Recent Smell Loss Is the Best Predictor of COVID-19 Among Individuals With Recent Respiratory Symptoms

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Fältnamn	Indikatorer	Metadata
000		06570naa a2201285 4500
001		oai:DiVA.org:su-195563
003		SwePub
008		210824s2021 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:149039254
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-1955632 URI
024	7	a https://doi.org/10.1093/chemse/bjaa0812 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1490392542 URI
040		a (SwePub)sud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Gerkin, Richard C.4 aut
245	1 0	a Recent Smell Loss Is the Best Predictor of COVID-19 Among Individuals With Recent Respiratory Symptoms
264		c 2020-12-25
264	1	b Oxford University Press (OUP),c 2021
338		a print2 rdacarrier
520		a In a preregistered, cross-sectional study, we investigated whether olfactory loss is a reliable predictor of COVID-19 using a crowdsourced questionnaire in 23 languages to assess symptoms in individuals self-reporting recent respiratory illness. We quantified changes in chemosensory abilities during the course of the respiratory illness using 0–100 visual analog scales (VAS) for participants reporting a positive (C19+; n = 4148) or negative (C19−; n = 546) COVID-19 laboratory test outcome. Logistic regression models identified univariate and multivariate predictors of COVID-19 status and post-COVID-19 olfactory recovery. Both C19+ and C19− groups exhibited smell loss, but it was significantly larger in C19+ participants (mean ± SD, C19+: −82.5 ± 27.2 points; C19−: −59.8 ± 37.7). Smell loss during illness was the best predictor of COVID-19 in both univariate and multivariate models (ROC AUC = 0.72). Additional variables provide negligible model improvement. VAS ratings of smell loss were more predictive than binary chemosensory yes/no-questions or other cardinal symptoms (e.g., fever). Olfactory recovery within 40 days of respiratory symptom onset was reported for ~50% of participants and was best predicted by time since respiratory symptom onset. We find that quantified smell loss is the best predictor of COVID-19 amongst those with symptoms of respiratory illness. To aid clinicians and contact tracers in identifying individuals with a high likelihood of having COVID-19, we propose a novel 0–10 scale to screen for recent olfactory loss, the ODoR-19. We find that numeric ratings ≤2 indicate high odds of symptomatic COVID-19 (4 < OR < 10). Once independently validated, this tool could be deployed when viral lab tests are impractical or unavailable.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Medicinska och farmaceutiska grundvetenskaperx Neurovetenskaper0 (SwePub)301052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Basic Medicinex Neurosciences0 (SwePub)301052 hsv//eng
653		a anosmia
653		a chemosensory
653		a coronavirus
653		a hyposmia
653		a olfactory
653		a prediction
653		a psykologi
653		a Psychology
700	1	a Ohla, Kathrin4 aut
700	1	a Veldhuizen, Maria G.4 aut
700	1	a Joseph, Paule4 aut
700	1	a Kelly, Christine E.4 aut
700	1	a Bakke, Alyssa J.4 aut
700	1	a Steele, Kimberley E.4 aut
700	1	a Farruggia, Michael C.4 aut
700	1	a Pellegrino, Robert4 aut
700	1	a Pepino, Marta Y.4 aut
700	1	a Bouysset, Cedric4 aut
700	1	a Soler, Graciela M.4 aut
700	1	a Pereda-Loth, Veronica4 aut
700	1	a Dibattista, Michele4 aut
700	1	a Cooper, Keiland W.4 aut
700	1	a Croijmans, Ilja4 aut
700	1	a Di Pizio, Antonella4 aut
700	1	a Ozdener, Mehmet Hakan4 aut
700	1	a Fjaeldstad, Alexander W.4 aut
700	1	a Lin, Cailu4 aut
700	1	a Sandell, Mari A.4 aut
700	1	a Singh, Preet B.4 aut
700	1	a Brindha, V. Evelyn4 aut
700	1	a Olsson, Shannon B.4 aut
700	1	a Saraiva, Luis R.4 aut
700	1	a Ahuja, Gaurav4 aut
700	1	a Alwashahi, Mohammed K.4 aut
700	1	a Bhutani, Surabhi4 aut
700	1	a D'Errico, Anna4 aut
700	1	a Fornazieri, Marco A.4 aut
700	1	a Golebiowski, Jerome4 aut
700	1	a Hwang, Liang Dar4 aut
700	1	a Ozturk, Lina4 aut
700	1	a Roura, Eugeni4 aut
700	1	a Spinelli, Sara4 aut
700	1	a Whitcroft, Katherine L.4 aut
700	1	a Faraji, Farhoud4 aut
700	1	a Fischmeister, Florian Ph S.4 aut
700	1	a Heinbockel, Thomas4 aut
700	1	a Hsieh, Julien W.4 aut
700	1	a Huart, Caroline4 aut
700	1	a Konstantinidis, Iordanis4 aut
700	1	a Menini, Anna4 aut
700	1	a Morini, Gabriella4 aut
700	1	a Olofsson, Jonas K.,d 1978-u Stockholms universitet,Psykologiska institutionen4 aut0 (Swepub:su)jool8931
700	1	a Philpott, Carl M.4 aut
700	1	a Pierron, Denis4 aut
700	1	a Shields, Vonnie D. C.4 aut
700	1	a Voznessenskaya, Vera V.4 aut
700	1	a Albayay, Javier4 aut
700	1	a Altundag, Aytug4 aut
700	1	a Bensafi, Moustafa4 aut
700	1	a Bock, Maria Adelaida4 aut
700	1	a Calcinoni, Orietta4 aut
700	1	a Fredborg, Williamu Stockholms universitet,Psykologiska institutionen4 aut0 (Swepub:su)wifr5556
700	1	a Laudamiel, Christophe4 aut
700	1	a Lim, Juyun4 aut
700	1	a Lundstrom, Johan N.u Karolinska Institutet4 aut
700	1	a Macchi, Alberto4 aut
700	1	a Meyer, Pablo4 aut
700	1	a Moein, Shima T.4 aut
700	1	a Santamaria, Enrique4 aut
700	1	a Sengupta, Debarka4 aut
700	1	a Dominguez, Paloma Rohlfs4 aut
700	1	a Yanik, Huseyin4 aut
700	1	a Hummel, Thomas4 aut
700	1	a Hayes, John E.4 aut
700	1	a Reed, Danielle R.4 aut
700	1	a Niv, Masha Y.4 aut
700	1	a Munger, Steven D.4 aut
700	1	a Parma, Valentina4 aut
710	2	a Stockholms universitetb Psykologiska institutionen4 org
773	0	t Chemical Sensesd : Oxford University Press (OUP)g 46q 46x 0379-864Xx 1464-3553
856	4	u https://doi.org/10.1093/chemse/bjaa081y Fulltext
856	4	u https://academic.oup.com/chemse/article-pdf/doi/10.1093/chemse/bjaa081/36463073/bjaa081.pdf
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-195563
856	4 8	u https://doi.org/10.1093/chemse/bjaa081
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:149039254

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Av författaren/redakt...: Gerkin, Richard ...; Ohla, Kathrin; Veldhuizen, Mari ...; Joseph, Paule; Kelly, Christine ...; Bakke, Alyssa J.; visa fler...; Steele, Kimberle ...; Farruggia, Micha ...; Pellegrino, Robe ...; Pepino, Marta Y.; Bouysset, Cedric; Soler, Graciela ...; Pereda-Loth, Ver ...; Dibattista, Mich ...; Cooper, Keiland ...; Croijmans, Ilja; Di Pizio, Antone ...; Ozdener, Mehmet ...; Fjaeldstad, Alex ...; Lin, Cailu; Sandell, Mari A.; Singh, Preet B.; Brindha, V. Evel ...; Olsson, Shannon ...; Saraiva, Luis R.; Ahuja, Gaurav; Alwashahi, Moham ...; Bhutani, Surabhi; D'Errico, Anna; Fornazieri, Marc ...; Golebiowski, Jer ...; Hwang, Liang Dar; Ozturk, Lina; Roura, Eugeni; Spinelli, Sara; Whitcroft, Kathe ...; Faraji, Farhoud; Fischmeister, Fl ...; Heinbockel, Thom ...; Hsieh, Julien W.; Huart, Caroline; Konstantinidis, ...; Menini, Anna; Morini, Gabriell ...; Olofsson, Jonas ...; Philpott, Carl M ...; Pierron, Denis; Shields, Vonnie ...; Voznessenskaya, ...; Albayay, Javier; Altundag, Aytug; Bensafi, Moustaf ...; Bock, Maria Adel ...; Calcinoni, Oriet ...; Fredborg, Willia ...; Laudamiel, Chris ...; Lim, Juyun; Lundstrom, Johan ...; Macchi, Alberto; Meyer, Pablo; Moein, Shima T.; Santamaria, Enri ...; Sengupta, Debark ...; Dominguez, Palom ...; Yanik, Huseyin; Hummel, Thomas; Hayes, John E.; Reed, Danielle R ...; Niv, Masha Y.; Munger, Steven D ...; Parma, Valentina; visa färre...

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