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Table 3 The characteristics of included systematic reviews regarding the olfactory and oral dysfunction of COVID-19 infection

From: Neurological manifestations of COVID-19 infection: an umbrella review

Authors

Origin

Type

Quality

Number of included studies

Types of included studies

Assessing the quality of included studies

Searched databases

Main results

1. Borsetto et al. 2020 [46]

Critically Low

Systematic Review + Meta-analysis

UK

18

Not mentioned

None

Embase, Scopus, Web of Science, Medline, MedRxiv

The alteration of the sense of smell or taste was estimated 31% in severe and 67% in mild-to-moderate symptomatic patients

2. da Costa et al. 2020 [61]

Moderate

Systematic Review

Brazil

6

Cohort, cross sectional, case–control

NOS1

Pubmed, Scopus, Google Scholar, Cochrane library, LILACS2, Science direct

OGD3 occurs at varying intensities and prior to the general symptoms of COVID-19

3. Samaranayake et al. 2020 [62]

Moderate

Systematic Review

United Arab Emirates

8

Cohort, cross sectional, case–control

Nine-item checklist for prevalence study

Pubmed, Web of Science, EBSCO

Anosmia and dysgeusia symptoms were present in both ambulatory and hospitalized patients and mild-to-severe cases of COVID-19

4. Lechner et al. 2020 [45]

Critically Low

Systematic Review

UK

31

Case series, case reports, cross sectional

None

Pubmed

OGD is indicative of COVID-19 infection and should be implicated in evaluation of healthcare workers

5. Rocke et al. 2020 [47]

Moderate

Systematic Review + Meta-analysis

UK

12

Case series, cross sectional, case–control

ROBINS‐E

Pubmed, Embase, Cochrane library, HMIC, MedRxiv

There is a significant evidence demonstrating an association between olfactory dysfunction and COVID‐19

6. Zahra et al. 2020 [57]

Moderate

Systematic Review

UK

23

Cohort, case series, cross sectional, case–control

NOS

Pubmed, Scopus, Google Scholar, Cochrane library, Medline

Symptoms of anosmia and dysgeusia were frequently reported by COVID-19-positive patients; more commonly in females and in younger patients

7. Fuccillo et al. 2020 [58]

Moderate

Systematic Review

Italy

32

Cohort, case series, cross sectional

NHLBI4 Assessment Tools, Oxford CEBM5 guide

Pubmed, Embase, Web of Science

Olfactory disorders represent an important clinical characteristic of COVID-19

8. Hoang et al. 2020 [48]

Moderate

Systematic Review + Meta-analysis

Thailand

14

Case series, cross sectional, case–control

Modified NOS

Pubmed, Embase, Scopus, Medline OVID

OGD and COVID-19 are associated

9. Tong et al. 2020 [49]

Moderate

Systematic Review + Meta-analysis

USA

10

Cohort, case series, cross sectional, case–control

The quality assessment checklist for prevalence studies adapted from Hoy et al.

Pubmed, Scopus

OGS are common symptoms in patients with COVID-19 and may be manifested as an early symptoms in the clinical course of the COVID-19 infection

10. Passarelli et al. 2020 [59]

Critically Low

Systematic Review

Italy

5

Not mentioned

None

Pubmed

Anosmia and ageusia are a significant sign and can be considered as the first manifestation of the infection

11. Agyeman et al. 2020 [50]

Moderate

Systematic Review + Meta-analysis

Australia

24

Not mentioned

Murad tool

Pubmed, Embase, Medline, MedRxiv

High prevalence of OGD among patients infected with COVID-19 are reported across the literature

12. Pang et al. 2020 [51]

Moderate

Systematic Review + Meta-analysis

Singapore

19

Cohort, case series, cross sectional, case–control

The risk of bias tool for prevalence studies by Hoy et al.

Pubmed

Patient-reported olfactory dysfunction is a highly specific manifestation of COVID-19

13. Hajikhani et al. 2020 [52]

Moderate

Systematic Review + Meta-analysis

Iran

15

Not mentioned

JBI6 tool

Pubmed, Embase, Web of Science

OGD in patients with confirmed COVID-19 have a high prevalence

14. Sedaghat et al. 2020 [60]

Critically Low

Systematic Review

USA

6

Not mentioned

None

Pubmed, Embase, Web of Science

OGD is highly common in the course of COVID-19 infection and patients may experience sudden-onset of smell alteration as the first symptom

15. Chi et al. 2020 [53]

Low

Systematic Review + Meta-analysis

China

12

Not mentioned

None

Pubmed, Embase, Cochrane library, Cumulative Index to Nursing and Allied Health Literature, National Digital Library of Theses and Dissertations in Taiwan database, Art Image Indexing Service on the Internet Database (Chinese database)

OGD is associated with COVID-19 infection and in some patients is the first symptom of the infection

16. Giorli et al. 2020 [54]

Critically Low

Systematic Review + Meta-analysis

Italy

11

Cohort, cross sectional, case–control

None

Pubmed, Scopus, Web of Science

New onset olfactory dysfunction is associated with COVID-19, anosmia is more frequent in non-hospitalized COVID-19 patients than in hospitalized ones

17. Ibekwe et al. 2020 [55]

Moderate

Systematic Review + Meta-analysis

Nigeria

32

Cohort, cross sectional, case–control

JBI tool

Pubmed, Embase, Google Scholar, Web of Science

The prevalence of smell and taste loss among COVID-19 patients was high globally

18. Chung et al. 2020 [56]

Critically Low

Cohort + Systematic Review

China

23

Cohort, experimental, case series, case reports

None

Pubmed

COVID-19-related smell disturbance can be severe and prolonged and may be the only symptom

19. Printza et al. 2020 [63]

Critically Low

Systematic Review

Greece

24

Cohort, case series, cross sectional, case–control

None

Pubmed, Cochrane library, MedRxiv

Anosmia is more prevalent in COVID-19 patients than in patients suffering from other respiratory infections or controls

  1. 1. NOS: Newcastle–Ottawa Scale, 2. LILACS: Latin American and Caribbean Health Sciences Literature; 3. OGD: Olfactory and Gustatory Dysfunctions; 4. NHLBI: National Heart, Lung, and Blood Institute; 5. CEBM: Center for Evidence-Based Medicine; 6. JBI: Joanna Briggs Institute