Evidence map›Paper›PMID 35795716›Full record

ArticleEClinicalMedicine2022

Daily testing of contacts of SARS-CoV-2 infected cases as an alternative to quarantine for key workers in Liverpool: A prospective cohort study.

Lucy Marsden, David M Hughes, Rhiannon Corcoran, Christopher P Cheyne, Matt Ashton, Iain Buchan, Emer Coffey, Marta García-Fiñana

Open access · goldAbstract read
In one paragraph

Article in EClinicalMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 50% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  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

8 authors at 2 institutions in 1 country.

Lucy MarsdenPublic Health Department, Liverpool City Council, Liverpool, Cunard Building, Water Street, Liverpool, L3 1DS.
David M HughesDepartment of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, UK.
Rhiannon CorcoranDepartment of Primary Care and Mental Health, Institute of Population Health, University of Liverpool.
Christopher P CheyneDepartment of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, UK.
Matt AshtonPublic Health Department, Liverpool City Council, Liverpool, Cunard Building, Water Street, Liverpool, L3 1DS.
Iain BuchanDepartment of Public Health, Policy and Systems, Institute of Population Health, University of Liverpool, Liverpool, UK.
Emer CoffeyPublic Health Department, Liverpool City Council, Liverpool, Cunard Building, Water Street, Liverpool, L3 1DS.
Marta García-FiñanaDepartment of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, UK.
University of Liverpool · GBLiverpool City Council · GB

Funding

Medical Research Council MR/R024847/1
6 · The paper itself

Abstract

Background: Covid-19 test-to-release from quarantine policies affect many lives. The SMART Release pilot was the foundation of these policies and an element of the world's largest population cohort study of community-wide, SARS-CoV-2 rapid antigen testing. The objective of the study was to evaluate daily lateral flow testing (LFT) as an alternative to 10-14 days quarantine for key worker contacts of known Covid-19 (or SARS-CoV-2 infection) cases. Methods: Prospective cohort study incorporating quantitative and qualitative research methods to consider how serial LFT compares with PCR testing to detect SARS-CoV-2 infections and to understand experiences/compliance with testing and the viability of this quarantine harm-reduction strategy. Participants were residents of the Liverpool area who were key workers at participating fire, police, NHS and local government organisations in Liverpool, and who were identified as close contacts of cases between December 2020 and August 2021. Thematic qualitative analysis was used to evaluate stakeholder meetings. Findings: Compliance with the daily testing regime was good across the three main organisations in this study with 96·9%, 93·7% and 92·8% compliance for Merseyside Police, Merseyside Fire & Rescue Service and Alder Hey Children's Hospital respectively. Out of 1657 participants, 34 positive Covid-19 cases were identified and 3 undetected by the daily LFT regime. A total of 8291 workdays would have been lost to self-isolation but were prevented due to negative daily tests. Organisations reported that daily contact testing proved useful, flexible and well-tolerated initiative to sustain key worker services. Interpretation: Compliance with daily testing among key workers was high, helping sustain service continuity during periods of very high risk of staffing shortage. Services reported that the pilot was a "lifeline" and its successful delivery in Liverpool has been replicated elsewhere. Funding: This report is independent research commissioned by DHSC and part funded by DHSC and NIHR. Further funding was received from Liverpool City Council, the EPSRC and MRC.

Indexed as

COVID-19Key-workersLateral flow tests

Identifiers

PMID35795716
PMCPMC9249302
OpenAlexW4283767023

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.