Evidence map›Paper›PMID 27255755›Full record

Trial reportBMC infectious diseases2016

The Respiratory Protection Effectiveness Clinical Trial (ResPECT): a cluster-randomized comparison of respirator and medical mask effectiveness against respiratory infections in healthcare personnel.

Lewis J Radonovich, Mary T Bessesen, Derek A Cummings, Aaron Eagan, Charlotte Gaydos, Cynthia Gibert, Geoffrey J Gorse, Ann-Christine Nyquist, Nicholas G Reich, Maria Rodrigues-Barradas and 4 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01249625 (Incidence of Respiratory Illness in Outpatient Healthcare Workers Who Wear Respirators or Medical Masks While Caring for Patients), which is not on this map. Cited by 18 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 6 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01249625 nacompletednot on this map

Incidence of Respiratory Illness in Outpatient Healthcare Workers Who Wear Respirators or Medical Masks While Caring for Patients

TypeinterventionalSponsorJohns Hopkins UniversityRan2010 to 2018Enrolled2,862ConditionsInfluenza, Respiratory Syncytial Viruses, Paramyxoviridae Infections, CoronavirusArmsN95 Respirator, Medical/surgical mask
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 6 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Effectiveness of Masks and Respirators Against Respiratory Infections in Healthcare Workers: A Systematic Review and Meta-Analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  7. Trial
  8. Trial
  9. Article
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  12. Article
  13. Review
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  15. Article
  16. Article
  17. Article
  18. Controlling infectious disease outbreaks in low-income and middle-income countries.Current treatment options in infectious diseases · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 12 institutions in 1 country.

Lewis J RadonovichU.S. Department of Veterans Affairs, National Center for Occupational Health and Infection Control, 1601 SW Archer Road, Mailstop 151E, Gainesville, FL, 32608, USA. lewis.radonovich@va.gov.
Mary T BessesenVeterans Affairs Eastern Colorado Healthcare System, Denver, CO, USA.
Derek A CummingsJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Aaron EaganU.S. Department of Veterans Affairs, National Center for Occupational Health and Infection Control, 1601 SW Archer Road, Mailstop 151E, Gainesville, FL, 32608, USA.
Charlotte GaydosJohns Hopkins School of Medicine, Baltimore, MD, USA.
Cynthia GibertVeterans Affairs Medical Center and George Washington University School of Medical and Health Sciences, Washington, DC, USA.
Geoffrey J GorseVeterans Affairs St. Louis Healthcare System and Saint Louis University School of Medicine, St. Louis, MO, USA.
Ann-Christine NyquistChildren's Hospital Colorado, Aurora, CO, USA.
Nicholas G ReichDepartment of Biostatistics and Epidemiology, University of Massachusetts, Amherst, MA, USA.
Maria Rodrigues-BarradasMichael E. DeBakey VAMC and Baylor College of Medicine, Houston, Texas, USA.
Connie Savor-PriceDenver Health, Denver, CO, USA.
Ronald E ShafferNational Personal Protective Technology Laboratory, National Institute for Occupational Safety and Health, Pittsburgh, PA, USA.
Michael S SimberkoffVeterans Affairs New York Harbor Healthcare System, New York, NY, USA.
Trish M PerlJohns Hopkins School of Medicine, Baltimore, MD, USA.
Johns Hopkins Medicine · USUnited States Department of Veterans Affairs · USChildren's Hospital Colorado · USDenver Health Medical Center · USGeorge Washington University · USMichael E. DeBakey VA Medical Center · USNational Institute for Occupational Safety and Health · USUniversity of Florida · USUniversity of Massachusetts Amherst · USVA Eastern Colorado Health Care System · USVA NY Harbor Healthcare System · USVA St. Louis Health Care System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough N95 filtering facepiece respirators and medical masks are commonly used for protection against respiratory infections in healthcare settings, more clinical evidence is needed to understand the optimal settings and exposure circumstances for healthcare personnel to use these devices. A lack of clinically germane research has led to equivocal, and occasionally conflicting, healthcare respiratory protection recommendations from public health organizations, professional societies, and experts.

methodsThe Respiratory Protection Effectiveness Clinical Trial (ResPECT) is a prospective comparison of respiratory protective equipment to be conducted at multiple U.S. study sites. Healthcare personnel who work in outpatient settings will be cluster-randomized to wear N95 respirators or medical masks for protection against infections during respiratory virus season. Outcome measures will include laboratory-confirmed viral respiratory infections, acute respiratory illness, and influenza-like illness. Participant exposures to patients, coworkers, and others with symptoms and signs of respiratory infection, both within and beyond the workplace, will be recorded in daily diaries. Adherence to study protocols will be monitored by the study team. DISCUSSION: ResPECT is designed to better understand the extent to which N95s and MMs reduce clinical illness among healthcare personnel. A fully successful study would produce clinically relevant results that help clinician-leaders make reasoned decisions about protection of healthcare personnel against occupationally acquired respiratory infections and prevention of spread within healthcare systems.

trial registrationThe trial is registered at clinicaltrials.gov, number NCT01249625 (11/29/2010).

Indexed as

Health PersonnelMasksRespiratory Protective DevicesAmbulatory CareFemaleHumansOccupational DiseasesProspective StudiesRespiratory Tract InfectionsVirus DiseasesWorkplaceHealthcare personnelInfluenzaMasksRespiratorsRespiratory infections

Identifiers

PMID27255755
PMCPMC4890247
OpenAlexW2417371845

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.