Evidence map›Paper›PMID 34530802›Full record

ArticleBMC public health2021

Feasibility and effectiveness of daily temperature screening to detect COVID-19 in a prospective cohort at a large public university.

Shelley N Facente, Lauren A Hunter, Laura J Packel, Yi Li, Anna Harte, Guy Nicolette, Shana McDevitt, Maya Petersen, Arthur L Reingold

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
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  6. Article
  7. Review
  8. Safety and health management response to COVID-19 in the construction industry: A perspective of fieldworkers.Process safety and environmental protection : transactions of the Institution of Chemical Engineers, Part B · 2022
    Article
  9. Voice Features of Sustained Phoneme as COVID-19 Biomarker.IEEE journal of translational engineering in health and medicine · 2022
    Article
  10. Article
  11. Article
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

9 authors.

Shelley N FacenteSchool of Public Health, Division of Epidemiology and Biostatistics, University of California, Berkeley, 2121 Berkeley Way # 5302, Berkeley, CA, 94720, USA. sfacente@berkeley.edu.
Lauren A HunterSchool of Public Health, Division of Epidemiology and Biostatistics, University of California, Berkeley, 2121 Berkeley Way # 5302, Berkeley, CA, 94720, USA.
Laura J PackelSchool of Public Health, Division of Epidemiology and Biostatistics, University of California, Berkeley, 2121 Berkeley Way # 5302, Berkeley, CA, 94720, USA.
Yi LiSchool of Public Health, Division of Epidemiology and Biostatistics, University of California, Berkeley, 2121 Berkeley Way # 5302, Berkeley, CA, 94720, USA.
Anna HarteUniversity Health Services, University of California Berkeley, Berkeley, CA, USA.
Guy NicoletteUniversity Health Services, University of California Berkeley, Berkeley, CA, USA.
Shana McDevittInnovative Genomics Institute, University of California Berkeley, Berkeley, CA, USA.
Maya PetersenSchool of Public Health, Division of Epidemiology and Biostatistics, University of California, Berkeley, 2121 Berkeley Way # 5302, Berkeley, CA, 94720, USA.
Arthur L ReingoldSchool of Public Health, Division of Epidemiology and Biostatistics, University of California, Berkeley, 2121 Berkeley Way # 5302, Berkeley, CA, 94720, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany persons with active SARS-CoV-2 infection experience mild or no symptoms, presenting barriers to COVID-19 prevention. Regular temperature screening is nonetheless used in some settings, including university campuses, to reduce transmission potential. We evaluated the potential impact of this strategy using a prospective university-affiliated cohort.

methodsBetween June and August 2020, 2912 participants were enrolled and tested for SARS-CoV-2 by PCR at least once (median: 3, range: 1-9). Participants reported temperature and symptoms daily via electronic survey using a previously owned or study-provided thermometer. We assessed feasibility and acceptability of daily temperature monitoring, calculated sensitivity and specificity of various fever-based strategies for restricting campus access to reduce transmission, and estimated the association between measured temperature and SARS-CoV-2 test positivity using a longitudinal binomial mixed model.

resultsMost participants (70.2%) did not initially have a thermometer for taking their temperature daily. Across 5481 total person months, the average daily completion rate of temperature values was 61.6% (median: 67.6%, IQR: 41.8-86.2%). Sensitivity for SARS-CoV-2 ranged from 0% (95% CI 0-9.7%) to 40.5% (95% CI 25.6-56.7%) across all strategies for self-report of possible COVID-19 symptoms on day of specimen collection, with corresponding specificity of 99.9% (95% CI 99.8-100%) to 95.3% (95% CI 94.7-95.9%). An increase of 0.1 °F in individual mean body temperature on the same day as specimen collection was associated with 1.11 increased odds of SARS-CoV-2 positivity (95% CI 1.06-1.17).

conclusionsOur study is the first, to our knowledge, that examines the feasibility, acceptability, and effectiveness of daily temperature screening in a prospective cohort during an infectious disease outbreak, and the only study to assess these strategies in a university population. Daily temperature monitoring was feasible and acceptable; however, the majority of potentially infectious individuals were not detected by temperature monitoring, suggesting that temperature screening is insufficient as a primary means of detection to reduce transmission of SARS-CoV-2.

Indexed as

COVID-19Feasibility StudiesHumansProspective StudiesSARS-CoV-2TemperatureUniversitiesCOVID-19DetectionFeverSARS-CoV-2ScreeningTemperature monitoringThermometer

Identifiers

PMID34530802
PMCPMC8445011

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.