Evidence map›Paper›PMID 36649374›Full record

SynthesisBMJ paediatrics open2023

Systematic review of outbreaks of COVID-19 within households in the European region when the child is the index case.

Constantine I Vardavas, Katerina Nikitara, Katerina Aslanoglou, Apostolos Kamekis, Nithya Puttige Ramesh, Emmanouil Symvoulakis, Israel Agaku, Revati Phalkey, Jo Leonardi-Bee, Esteve Fernandez and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ paediatrics open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Constantine I VardavasSchool of Medicine, University of Crete School of Medicine, Heraklion, Greece.
Katerina NikitaraSchool of Medicine, University of Crete School of Medicine, Heraklion, Greece.
Katerina AslanoglouSchool of Medicine, University of Crete School of Medicine, Heraklion, Greece.ORCID 0000-0003-4968-9913
Apostolos KamekisSchool of Medicine, University of Crete School of Medicine, Heraklion, Greece.
Nithya Puttige RameshDepartment of Oral Health Policy and Epidemiology, Harvard University, Cambridge, Massachusetts, USA.
Emmanouil SymvoulakisSchool of Medicine, University of Crete School of Medicine, Heraklion, Greece.
Israel AgakuDepartment of Oral Health Policy and Epidemiology, Harvard University, Cambridge, Massachusetts, USA.
Revati PhalkeyCentre for Evidence Based Healthcare, University of Nottingham, Nottingham, UK.
Jo Leonardi-BeeCentre for Evidence Based Healthcare, University of Nottingham, Nottingham, UK.
Esteve FernandezTobacco Control Unit, Catalan Institute of Oncology Institut Català d'Oncologia (ICO), L'Hospitalet de Llobregat, Barcelona, Spain.
Orla CondellEuropean Centre for Disease Prevention and Control (ECDC), Solna, Stockholm, Sweden.
Favelle LambEuropean Centre for Disease Prevention and Control (ECDC), Solna, Stockholm, Sweden.
Charlotte DeoganEuropean Centre for Disease Prevention and Control (ECDC), Solna, Stockholm, Sweden.
Jonathan E SukEuropean Centre for Disease Prevention and Control (ECDC), Solna, Stockholm, Sweden Jonathan.Suk@ecdc.europa.eu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review aims to identify the secondary attack rates (SAR) to adults and other children when children are the index cases within household settings.

methodsThis literature review assessed European-based studies published in Medline and Embase between January 2020 and January 2022 that assessed the secondary transmission of SARS-CoV-2 within household settings. The inclusion criteria were based on the Population, Exposure, Outcome framework for systematic reviews. Thus, the study population was restricted to humans within the household setting in Europe (population), in contact with paediatric index cases 1-17 years old (exposure) that led to the transmission of SARS-CoV-2 reported as either an SAR or the probability of onward infection (outcome).

resultsOf 1819 studies originally identified, 19 met the inclusion criteria. Overall, the SAR ranged from 13% to 75% in 15 studies, while there was no evidence of secondary transmission from children to other household members in one study. Evidence indicated that asymptomatic SARS-CoV-2 index cases also have a lower SAR than those with symptoms and that younger children may have a lower SAR than adolescents (>12 years old) within household settings.

conclusionsSARS-CoV-2 secondary transmission from paediatric index cases ranged from 0% to 75%, within household settings between January 2020 and January 2022, with differences noted by age and by symptomatic/asymptomatic status of the index case. Given the anticipated endemic circulation of SARS-CoV-2, continued monitoring and assessment of household transmission is necessary.

Indexed as

COVID-19AdolescentAdultChildChild, PreschoolDisease OutbreaksFamily CharacteristicsHumansInfantSARS-CoV-2COVID-19epidemiologyvirology

Identifiers

PMID36649374
PMCPMC9835947

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.