Cochrane · systematic review · CD013876

Interventions for the treatment of persistent post‐COVID‐19 olfactory dysfunction

O'Byrne, L, Webster, KE, MacKeith, S, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

ENT2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
8
No studies
6
Included studies
NR
No studies 6 · 42.9%Ungraded 0 · 0%Very low 8 · 57.1%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Systemic corticosteroids plus intranasal steroid/mucolytic/decongestant compared to no intervention for persistent post‐COVID‐19 olfactory dysfunction

Population: adults with olfactory dysfunction for ≥ 4 weeks following COVID‐19 infection
7 questions
OutcomeEffectEvidenceStatus / GRADE
Psychophysical testing for recovery of sense of smell
Systemic corticosteroids plus intranasal steroid/mucolytic/decongestant vs no intervention
RR 11 [0.7, 173.66]1 study · 18 participantsVery low
Downgraded: risk of bias
Disease‐related quality of life
Systemic corticosteroids plus intranasal steroid/mucolytic/decongestant vs no intervention
no estimate extractedNRNo studies
Serious adverse events
Systemic corticosteroids plus intranasal steroid/mucolytic/decongestant vs no intervention
no estimate extracted1 study · 18 participantsVery low
Downgraded: risk of bias
Psychophysical testing for change in sense of smell
Systemic corticosteroids plus intranasal steroid/mucolytic/decongestant vs no intervention
no estimate extracted1 study · 18 participantsVery low
Downgraded: risk of bias
Generic quality of life
Systemic corticosteroids plus intranasal steroid/mucolytic/decongestant vs no intervention
no estimate extractedNRNo studies
Presence of parosmia
Systemic corticosteroids plus intranasal steroid/mucolytic/decongestant vs no intervention
no estimate extractedNRNo studies
Other adverse outcomes
Systemic corticosteroids plus intranasal steroid/mucolytic/decongestant vs no intervention
no estimate extracted1 study · 18 participantsVery low
Downgraded: risk of bias

Palmitoylethanolamide and luteolin compared to no intervention for the treatment of persistent post‐COVID‐19 olfactory dysfunction

Population: adults with olfactory dysfunction for ≥ 4 weeks following COVID‐19 infection
7 questions
OutcomeEffectEvidenceStatus / GRADE
Recovery of sense of smell (as
Palmitoylethanolamide and luteolin vs no intervention
RR 0.24 [0.03, 1.67]1 study · 12 participantsVery low
Downgraded: risk of bias
Disease‐related quality of life
Palmitoylethanolamide and luteolin vs no intervention
no estimate extractedNRNo studies
Serious adverse events
Palmitoylethanolamide and luteolin vs no intervention
no estimate extracted1 study · 12 participantsVery low
Downgraded: risk of bias
Change in sense of smell (as
Palmitoylethanolamide and luteolin vs no intervention
no estimate extracted1 study · 12 participantsVery low
Downgraded: risk of bias
Generic quality of life
Palmitoylethanolamide and luteolin vs no intervention
no estimate extractedNRNo studies
Presence of parosmia
Palmitoylethanolamide and luteolin vs no intervention
no estimate extractedNRNo studies
Other adverse outcomes
Palmitoylethanolamide and luteolin vs no intervention
no estimate extracted1 study · 12 participantsVery low
Downgraded: risk of bias