Evidence map›Paper›PMID 33979410›Full record

ArticlePloS one2021

SARS-CoV-2 transmission in students of public schools of Catalonia (Spain) after a month of reopening.

Anna Llupià, Alícia Borràs-Santos, Caterina Guinovart, Mireia Utzet, David Moriña, Joaquim Puig

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 6 institutions in 1 country.

Anna LlupiàDepartment of Preventive Medicine and Epidemiology, Hospital Clínic, Barcelona, Spain.ORCID 0000-0001-8284-7560
Alícia Borràs-SantosGimbernat School of Nursing, Universitat Autònoma de Barcelona (UAB), Sant Cugat del Vallès, Barcelona, Spain.
Caterina GuinovartBarcelona Institute for Global Health (ISGlobal), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.
Mireia UtzetCenter for Research in Occupational Health (CISAL), Barcelona, Spain.
David MoriñaDepartment of Econometrics, Statistics and Applied Econometrics, Riskcenter-IREA, Universitat de Barcelona, Barcelona, Spain.
Joaquim PuigDepartment of Mathematics, Universitat Politècnica de Catalunya, Barcelona, Spain.
Barcelona Institute for Global Health · ESHospital Clínic de Barcelona · ESUniversitat Autònoma de Barcelona · ESUniversitat de Barcelona · ESUniversitat Politècnica de Catalunya · ESUniversitat Pompeu Fabra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSARS-CoV-2 transmission within schools and its contribution to community transmission are still a matter of debate.

methodsA retrospective cohort study in all public schools in Catalonia was conducted using publicly available data assessing the association between the number of reported SARS-CoV-2 cases among students and staff in weeks 1-2 (Sept 14-27th, 2020) of the academic year with school SARS-CoV-2 incidence among students in weeks 4-5. A multilevel Poisson regression model adjusted for the community incidence in the corresponding basic health area (BHA) and the type of school (primary or secondary), with random effects at the sanitary region and BHA levels, was performed.

resultsA total of 2184 public schools opened on September 14th with 778,715 students. Multivariate analysis showed a significant association between the total number of SARS-CoV-2 cases in a centre in weeks 1-2 and the SARS-CoV-2 school incidence among students in weeks 4-5 (Risk Ratio (RR) 1.074, 95% CI 1.044-1.105, p-value <0.001). The adjusted BHA incidence in the first two weeks was associated with school incidence in weeks 4-5 (RR 1.002, 95% CI 1.002-1.003, p-value <0.001). Secondary schools showed an increased incidence in weeks 4 and 5 (RR primary vs secondary 1.709 95% CI 1.599-1.897, p-value <0.001).

conclusionsSafety measures adopted by schools were not enough to stop related-to-school transmission in students and could be improved. The safest way to keep schools open is to reduce community transmission down to a minimum.

Indexed as

AdolescentChildCohort StudiesCOVID-19FemaleHumansIncidenceMalePublic SectorRetrospective StudiesSARS-CoV-2SchoolsSpainStudents

Identifiers

PMID33979410
PMCPMC8115831
OpenAlexW3161757055

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.