RT Journal Article T1 Loss of Smell and Taste Can Accurately Predict COVID-19 Infection: A Machine-Learning Approach. A1 Callejon-Leblic, María A A1 Moreno-Luna, Ramon A1 Del Cuvillo, Alfonso A1 Reyes-Tejero, Isabel M A1 Garcia-Villaran, Miguel A A1 Santos-Peña, Marta A1 Maza-Solano, Juan M A1 Martín-Jimenez, Daniel I A1 Palacios-Garcia, Jose M A1 Fernandez-Velez, Carlos A1 Gonzalez-Garcia, Jaime A1 Sanchez-Calvo, Juan M A1 Solanellas-Soler, Juan A1 Sanchez-Gomez, Serafin K1 COVID-19 K1 SARS-CoV-2 K1 machine learning K1 prediction model K1 smell K1 taste K1 visual analog scale AB The COVID-19 outbreak has spread extensively around the world. Loss of smell and taste have emerged as main predictors for COVID-19. The objective of our study is to develop a comprehensive machine learning (ML) modelling framework to assess the predictive value of smell and taste disorders, along with other symptoms, in COVID-19 infection. A multicenter case-control study was performed, in which suspected cases for COVID-19, who were tested by real-time reverse-transcription polymerase chain reaction (RT-PCR), informed about the presence and severity of their symptoms using visual analog scales (VAS). ML algorithms were applied to the collected data to predict a COVID-19 diagnosis using a 50-fold cross-validation scheme by randomly splitting the patients in training (75%) and testing datasets (25%). A total of 777 patients were included. Loss of smell and taste were found to be the symptoms with higher odds ratios of 6.21 and 2.42 for COVID-19 positivity. The ML algorithms applied reached an average accuracy of 80%, a sensitivity of 82%, and a specificity of 78% when using VAS to predict a COVID-19 diagnosis. This study concludes that smell and taste disorders are accurate predictors, with ML algorithms constituting helpful tools for COVID-19 diagnostic prediction. SN 2077-0383 YR 2021 FD 2021-02-03 LK https://hdl.handle.net/10668/27719 UL https://hdl.handle.net/10668/27719 LA en DS RISalud RD Apr 8, 2025