Evidence map›Paper›PMID 35237834›Full record

Observational studySouthern medical journal2022

Analysis of the Effects of a Texas State-Wide Mask Mandate (Executive Order GA-29) on Case Load, Hospitalizations, and Mortality.

Michael D April, Jason F Naylor, Brit Long

Abstract readObservational Study
In one paragraph

Observational study in Southern medical journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

3 authors.

Michael D AprilFrom the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, the Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis McChord, Washington, and the Department of Emergency Medicine, Brooke Army Medical Center, JBSA Fort Sam Houston, Texas.
Jason F NaylorFrom the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, the Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis McChord, Washington, and the Department of Emergency Medicine, Brooke Army Medical Center, JBSA Fort Sam Houston, Texas.
Brit LongFrom the Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland, the Department of Emergency Medicine, Madigan Army Medical Center, Joint Base Lewis McChord, Washington, and the Department of Emergency Medicine, Brooke Army Medical Center, JBSA Fort Sam Houston, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe coronavirus disease 2019 (COVID-19) pandemic has resulted in unprecedented hospitalizations, ventilator use, and deaths. Because of concerns for resource utilization and surges in hospital capacity use, Texas Executive Order GA-29 required statewide mask wear beginning July 3, 2020. Our objective was to compare COVID-19 case load, hospital bed use, and deaths before and after implementation of this mask order.

methodsThis was a retrospective observational study using publicly reported statewide data to perform a mixed-methods interrupted time series analysis. We compared outcomes before and after the statewide mask wear mandate per Executive Order GA-29. The preorder period was from June 19 to July 2, 2020. The postorder period was July 17 to September 17, 2020. Outcomes included daily COVID-19 case load, hospitalizations, and mortality.

resultsThe daily case load before the mask order per 100,000 individuals was 187.5 (95% confidence interval [CI] 157.0-217.0) versus 200.7 (95% CI 179.8-221.6) after GA-29. The number of daily hospitalized patients with COVID-19 was 171.4 (95% CI 143.8-199.0) before GA-29 versus 225.1 (95% CI 202.9-247.3) after. Daily mortality was 2.4 (95% CI 1.9-2.9) before GA-29 versus 5.2 (95% CI 4.6-5.8). There was no material impact on our results after controlling for economic activity.

conclusionsIn both adjusted and unadjusted analyses, we were unable to detect a reduction in case load, hospitalization rates, or mortality associated with the implementation of an executive order requiring a statewide mask order. These results suggest that during a period of rapid virus spread, additional public health measures may be necessary to mitigate transmission at the population level.

Indexed as

Communicable Disease ControlMandatory ProgramsMasksCOVID-19Facilities and Services UtilizationHospitalizationHospital MortalityHumansInterrupted Time Series AnalysisRetrospective StudiesSurvival RateTexasWorkload

Identifiers

PMID35237834
PMCPMC8865024

What OpenQuestion holds

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Registered trials

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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.