Cochrane · systematic review · CD015029

Measures implemented in the school setting to contain the COVID‐19 pandemic

Littlecott, H, Krishnaratne, S, Burns, J, et al. · Cochrane Database of Systematic Reviews · 2024 · Cochrane Library

Public Health2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 43.8%Low 1 · 6.3%Moderate 8 · 50%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Current version only

Summary of findings: measures to reduce contacts

CD015029.PUB2 (current) · 8 questions
OutcomeEffectEvidenceStatus / GRADE
Transmission‐related outcomes: cases‐ number or proportion of cases
no estimate extractedNRModerate
Transmission‐related outcomes: cases ‐ number or proportion of cases
no estimate extractedNRModerate
Transmission‐related outcomes: cases ‐ epidemic progression
no estimate extractedNRLow
Transmission‐related outcomes: cases ‐ risk of infection
no estimate extractedNRVery low
Transmission‐related outcomes: cases: risk of infection
no estimate extractedNRVery low
Transmission‐related outcomes: deaths ‐ number and proportion of deaths
no estimate extractedNRModerate
Transmission‐related outcomes: hospitalization ‐ number or proportion of hospital admissions
no estimate extractedNRModerate
Transmission‐related outcomes: hospitalization ‐ Number or proportion of hospital admissions
no estimate extractedNRModerate

Summary of findings: measures to make contacts safer

CD015029.PUB2 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Transmission‐related outcomes: cases ‐ number or proportion of cases
no estimate extractedNRModerate
Transmission‐related outcomes: cases ‐ risk of infection
no estimate extractedNRVery low

Summary of findings: surveillance and response measures

CD015029.PUB2 (current) · 5 questions
OutcomeEffectEvidenceStatus / GRADE
Transmission‐related outcomes: cases‐ number or proportion of cases
no estimate extractedNRModerate
Downgraded: inconsistency
Intended and unintended consequences: social and institutional consequences ‐ days of absences avoided
no estimate extractedNRModerate
Downgraded: inconsistency
PPV
no estimate extractedNRVery low
Downgraded: inconsistency
Proportion of cases detected
no estimate extractedNRVery low
Downgraded: inconsistency
Onward transmission (secondary and tertiary transmission)
no estimate extractedNRVery low
Downgraded: inconsistency

Summary of findings: multicomponent measures

CD015029.PUB2 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Transmission‐related outcomes: cases ‐ risk of infection
no estimate extractedNRVery low

Summary of findings: measures reducing the opportunity for contacts

CD015029 · 11 questions
OutcomeEffectEvidenceStatus / GRADE
Number or proportion of cases
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Risk of infection
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Reproduction number
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number or proportion of deaths
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Risk of deathÂ
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Shift in pandemic development
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number or proportion of infected schools
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Risk of transmission to other schools
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number or proportion of hospitalisations
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number or proportion of cases requiring intensive care
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number of days spent in school
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Summary of findings: measures making contacts safer

CD015029 · 8 questions
OutcomeEffectEvidenceStatus / GRADE
Number or proportion of cases
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Reproduction number
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number or proportion of deaths
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number or proportion of hospitalisations
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Physical health
no estimate extractedNRLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Concentration of aerosol particles containing RNA virus in the room and inhaled dose of RNA virus for a susceptible person
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Shift in pandemic development
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number of days spent in school
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Summary of findings: surveillance and response measures

CD015029 · 8 questions
OutcomeEffectEvidenceStatus / GRADE
Number or proportion of cases
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number of cases detected
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Reproduction number
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number or proportion of deaths
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Shift in pandemic development
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Number or proportion of hospitalisations
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Numbers of days spent in school
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Resource costs
no estimate extractedNRVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness

Summary of findings: multicomponent measures

CD015029 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Number or proportion of cases
no estimate extractedNRLow
Downgraded: risk of bias, inconsistency