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Olfactory and Gustatory Recovery Time Evaluation of Covid-19: A Systematic Review and Meta-Analysis Pubmed



Poudineh M1 ; Amirbeik A2 ; Firouzabadi MD3, 4 ; Hajizadeh M5 ; Kahe F6 ; Babaniamansour S7 ; Poopak A4 ; Tajrishi FZ8 ; Deravi N9 ; Rahmanian M9 ; Ghasemirad H10 ; Malek M11 ; Noroozi M12 ; Fathi M9 Show All Authors
Authors
  1. Poudineh M1
  2. Amirbeik A2
  3. Firouzabadi MD3, 4
  4. Hajizadeh M5
  5. Kahe F6
  6. Babaniamansour S7
  7. Poopak A4
  8. Tajrishi FZ8
  9. Deravi N9
  10. Rahmanian M9
  11. Ghasemirad H10
  12. Malek M11
  13. Noroozi M12
  14. Fathi M9
  15. Keylani K13
  16. Firouzabadi AD14
  17. Abbasabad GD15
  18. Yazdanian F16
  19. Ramezanpour S17
  20. Babaniamansour A18
  21. Tajrishi FZ8
  22. Mohammadi S20
  23. Ansari G21
  24. Firouzabadi FD22
  25. Yousem DM21
Show Affiliations
Authors Affiliations
  1. 1. School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
  2. 2. Student Research Committee, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
  3. 3. ENT and Head & Neck Research Center, The Five Senses Health Institute, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Endocrinology and Metabolism Research Center (EMRC), Vali-Asr Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Division of Immunology, Department of Pathology, The Johns Hopkins University School of Medicine, Baltimore, 21205, MD, United States
  6. 6. Beth Israel Deaconess Medical Center, Harvard Medical School, United States
  7. 7. School of Medicine, Islamic Azad University, Tehran Faculty of Medicine, Tehran, Iran
  8. 8. Pulmonary and Critical Care Medicine, Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States
  9. 9. Student research committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  10. 10. Student research committee, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
  11. 11. Faculty of dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
  12. 12. Department of Biomedical Engineering, Tarbiat Modares University, Tehran, Iran
  13. 13. School of pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  14. 14. Mississippi State Department of Health, Jackson, MS, United States
  15. 15. Health Service Research, University of New Brunswick, Canada
  16. 16. Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States
  17. 17. Department of Radiology and Biomedical Imaging, University of California, San Francisco, United States
  18. 18. Department of Orthotics and Prosthetics, Rehabilitation school, Iran University of Medical Science, Tehran, Iran
  19. 19. Faculty of Science, University of Tehran, Tehran, Iran
  20. 20. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  21. 21. Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, United States
  22. 22. Department of Radiology, Boston Children’s Hospital, Harvard Medical School, Boston, MA, United States

Source: Acta Medica Indonesiana Published:2025


Abstract

Background: Olfactory dysfunction is a common symptom of Coronavirus disease 2019 (COVID-19). In this study, we aimed to evaluate the recovery rate and duration of these symptoms in COVID-19patients. Methods: This systematic review was conducted by searching PubMed and Google Scholar from April 1st, 2020, until October 1st, 2022, using the terms ‘‘COVID-19’’ OR ‘‘COV-2,’’ OR ‘‘Coronavirus 2’’ OR coronavirus AND ‘‘loss of smell’’ OR Anosmia OR Hyposmia OR olfaction OR ‘‘olfactory loss’’ AND ageusia OR Hypogeusia OR dysgeusia OR ‘‘gustatory loss’’ OR gustation OR ‘‘loss of taste’’. The references of included studies were also manually screened. Random-effects meta-analysis was performed. Results: One hundred and twenty-five studies with test-confirmed COVID-19 infection from 31 countries were included. 62 publications which reported data on loss of taste were used to estimate patients' recovery rate in 13700 COVID-19 patients. Accordingly, the time to recovery of loss of taste among COVID-19 patients ranged from 2±0.352 to 43.6 ± 28.5 days. The estimated overall pooled recovery rate of loss of taste among COVID-19 patients was 74%. The estimated overall pooled time to recover loss of taste among COVID-19 patients was 11.44 days [95% CI 8.11, 14.77(]. 90 publications which reported data on loss of smell were used to estimate patients' recovery rate in 20027 COVID-19 patients. Accordingly, the time to recover the loss of smell among COVID-19 patients ranged from 2.44±0.352 to 31.9 ± 30.7 days The estimated overall pooled recovery rate of loss of smell among COVID-19 patients was 72%. The estimated overall pooled time to recover loss of smell among COVID-19 patients was 12.87 days [95% CI)1011, 15.64(]. Conclusion: The recovery rate of loss of smell and taste among COVID-19 patients was high globally, and time to recovery of loss of smell and taste among COVID-19 patients usually was less than 2 weeks; regional differences supported the relevance of these symptoms as important markers. Health workers must consider smell and taste symptoms as suspicion indices for the empirical diagnosis of COVID-19 infection and reassure patients with their high recovery rate in a short period of time. © 2025, Indonesian Society of Internal Medicine. All rights reserved.
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