Evidence map›Paper›PMID 35987694›Full record

Trial reportTrials2022

Effectiveness and adherence to closed face shields in the prevention of COVID-19 transmission: a non-inferiority randomized controlled trial in a middle-income setting (COVPROSHIELD).

Andrea Ramirez Varela, Alejandro Pacheco Gurruchaga, Silvia Restrepo Restrepo, Juan David Martin, Yessica Daniela Campaz Landazabal, Guillermo Tamayo-Cabeza, Sandra Contreras-Arrieta, Yuldor Caballero-Díaz, Luis Jorge Hernandez Florez, John Mario González and 12 more

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

Trial report in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04647305 (Effectiveness and Adherence to Closed Face Shields to Prevent COVID-19 Transmission), which is not on this map. Cited by 5 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 4 pooled it
0.9field-weighted citation impact, top 25% 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.

NCT04647305 nacompletednot on this map

Effectiveness and Adherence to Closed Face Shields to Prevent COVID-19 Transmission: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Los Andes, ColumbiaRan2021 to 2021Enrolled233ConditionsSARS-CoV-2 InfectionArmsClosed face shield with Surgical face mask use, Surgical face mask use only
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 4 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effectiveness of face masks for reducing transmission of SARS-CoV-2: a rapid systematic review.Philosophical transactions. Series A, Mathematical, physical, and engineering sciences · 2023
    Pooled it
  4. Pooled it
  5. A systematic review andPreventive medicine reports · 2023
    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

22 authors at 4 institutions in 2 countries.

Andrea Ramirez VarelaFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia. an-rami2@uniandes.edu.co.ORCID http://orcid.org/0000-0003-2685-9617
Alejandro Pacheco GurruchagaUnited Nations Development Programme (UNDP), Bogota, Colombia.
Silvia Restrepo RestrepoDepartment of Food and Chemical Engineering, Universidad de los Andes, Bogotá, Colombia.
Juan David MartinUnited Nations Development Programme (UNDP), Bogota, Colombia.
Yessica Daniela Campaz LandazabalFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
Guillermo Tamayo-CabezaFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
Sandra Contreras-ArrietaFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
Yuldor Caballero-DíazFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
Luis Jorge Hernandez FlorezFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
John Mario GonzálezFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
Juan Carlos Santos-BarbosaFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
José David PinzónIndependent consultant in geographic data, COVPROSHIELD, Bogota, Colombia.
Juan José Yepes-NuñezFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
Rachid LaajajFaculty of Economics, Universidad de los Andes, Bogotá, Colombia.
Giancarlo Buitrago GutierrezClinical Research Institute, Universidad Nacional de Colombia, Bogotá, Colombia.
Martha Vives FlorezDepartment of Biological Sciences, Universidad de los Andes, Bogotá, Colombia.
Janner Fuentes CastilloFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
Gianni Quinche VargasFaculty of Medicine, Universidad de los Andes, Cra 7 #116-05, Bogotá, 11001000, Colombia.
Andres CasasCenter for Social Norms and Behavioral Dynamics at The University of Pennsylvania, Philadelphia, USA.
Antonio MedinaYale Center for Engineering Innovation & Design, New Haven, USA.
Eduardo BehrentzUniversidad de los Andes, Bogotá, Colombia.
CoVIDA Working Group
Universidad de Los Andes · COInstitute for Learning Innovation · USUniversidad Nacional de Colombia · COUniversity of Pennsylvania · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of respiratory devices can mitigate the spread of diseases such as COVID-19 in community settings. We aimed to determine the effectiveness of closed face shields with surgical face masks to prevent SARS-CoV-2 transmission in working adults during the COVID-19 pandemic in Bogotá, Colombia.

methodsAn open-label non-inferiority randomized controlled trial that randomly assigned participants to one of two groups: the intervention group was instructed to wear closed face shields with surgical face masks, and the active control group was instructed to wear only surgical face masks. The primary outcome was a positive reverse transcription polymerase chain reaction test, IgG/IgM antibody test for SARS-CoV-2 detection, or both during and at the end of the follow-up period of 21 days. The non-inferiority limit was established at - 5%.

resultsA total of 316 participants were randomized, 160 participants were assigned to the intervention group and 156 to the active control group. In total, 141 (88.1%) participants in the intervention group and 142 (91.0%) in the active control group completed the follow-up. PRIMARY OUTCOME: a positive SARS-CoV-2 test result was identified in one (0.71%) participant in the intervention group and three (2.1%) in the active control group. In the intention-to-treat analysis, the absolute risk difference was - 1.40% (95% CI [- 4.14%, 1.33%]), and in the per-protocol analysis, the risk difference was - 1.40% (95% CI [- 4.20, 1.40]), indicating non-inferiority of the closed face shield plus face mask (did not cross the non-inferiority limit).

conclusionsThe use of closed face shields and surgical face masks was non-inferior to the surgical face mask alone in the prevention of SARS-CoV-2 infection in highly exposed groups. Settings with highly active viral transmission and conditions such as poor ventilation, crowding, and high mobility due to occupation may benefit from the combined use of masks and closed face shields to mitigate SARS-CoV-2 transmission.

trial registrationClinicalTrials.gov NCT04647305 . Registered on November 30, 2020.

Indexed as

COVID-19AdultHumansMasksPandemicsRisk AssessmentSARS-CoV-2Clinical trialClosed face shieldCOVID-19Face maskSARS-CoV-2

Identifiers

PMID35987694
PMCPMC9391623
OpenAlexW4292681844

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.