Blood Biomarkers for Assessing Headaches in Healthcare Workers after Wearing Biological Personal Protective Equipment in a COVID-19 Field Hospital

Martin-Rodríguez, Francisco; López-Izquierdo, Raúl; Rubiales, Raquel M Portillo; Millán, Laura; Rodríguez, Virginia Carbajosa; Sanz-García, Áncor; Ortega, Guillermo; Polonio-López, Begoña; Villamor, Miguel Ángel Castro; Conty, José Luis Martín

doi:10.3390/jpm11010027

Cited by 6 publications

(5 citation statements)

References 31 publications

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“…10 Among the analyzed parameters, creatinine was found to be significantly elevated in individuals who developed headaches after 4 hours of use of PPE compared to individuals who did not (p = 0.019 ). 10 In addition to headaches, the included studies also pointed to psychosocial and work-related effects. Agarwal et al observed the presence of excessive sweating (100%), fogging of glasses, (88%) suffocation (83%), shortness of breath (61%), fatigue (75%), and pressure marks on the skin (19%) in individuals after prolonged use of PPE.…”

Section: Resultsmentioning

confidence: 89%

“…7,8 Zaheer et al found a mostly bilateral (69%), pressure (45.5%) and moderate intensity (69%) pattern in new headaches.8 Furthermore, individuals previously suffering from headaches have been identified with increased susceptibility to headache induction by EPI. 8,9 Martín-Rodríguez et al 10 analyzed possible biomarkers in the prediction of head- External compression headache during Covid-19 pandemic: a neglected entity aches associated with the use of PPE. 10 Among the analyzed parameters, creatinine was found to be significantly elevated in individuals who developed headaches after 4 hours of use of PPE compared to individuals who did not (p = 0.019 ).…”

Section: Resultsmentioning

confidence: 99%

“…8,9 Martín-Rodríguez et al 10 analyzed possible biomarkers in the prediction of head- External compression headache during Covid-19 pandemic: a neglected entity aches associated with the use of PPE. 10 Among the analyzed parameters, creatinine was found to be significantly elevated in individuals who developed headaches after 4 hours of use of PPE compared to individuals who did not (p = 0.019 ). 10 In addition to headaches, the included studies also pointed to psychosocial and work-related effects.…”

Section: Resultsmentioning

confidence: 99%

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External compression headache during Covid-19 pandemic: a neglected entity

Santos,

Lal,

Tardieux

et al. 2023

Headache Med

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IntroductionPersonal Protective Equipment (PPE) is part of the work routine of health professionals, especially during pandemics. During the Covid-19 pandemic, the use of PPE became constant for long working hours, resulting in adverse effects on the health of professionals, especially headache.ObjectiveIn this review, we explore the scientific literature on headache associated with prolonged use of PPE during the coronavirus pandemic.MethodThis is a narrative literature review conducted through the PubMed and Web of Science databases according to the following MeSH descriptors: “Face shield”, “Headache” and “Covid-19”. Articles that analyzed the presence of headache and other adverse events in health professionals in prolonged use of PPE were included.ResultsThe included studies point to headache as the most prevalent adverse event, which may be a new headache or the worsening of a previous headache. Other effects were also found, such as pressure marks on the skin, hyperemia in contact areas; suffocation; reduced concentration and excessive sweating.ConclusionThe use of PPE for long periods can cause headaches due to external pressure, in addition to other unwanted events.These effects reveal the importance of studies to make PPE more efficient, ensuring protection for the individual without causing discomfort.

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Section: Resultsmentioning

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

External compression headache during Covid-19 pandemic: a neglected entity

Santos,

Lal,

Tardieux

et al. 2023

Headache Med

View full text Add to dashboard Cite

show abstract

“…In the previous epidemic of SARS, protective gear-induced health hazards led to the suboptimal use of the N-95 mask [ 11 , 12 ]. In the recent pandemic era, protective gear-related occupational hazards have not been well addressed and quantified in the scientific literature, despite the significant suffering of physicians and other HCWs reported by some small-scale studies conducted in different parts of the world [ 13 – 15 ]. To date, there have been no such studies in Bangladesh.…”

Section: Introductionmentioning

confidence: 99%

“…To date, there have been no such studies in Bangladesh. The reported hazards include headache, skin breakdown, rash, impaired cognition, sweating, dry mouth, and dyspnea [ 13 – 15 ]. The prevalence of hazards ranged from 66–72% in different studies [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Health hazards related to using masks and/or personal protective equipment among physicians working in public hospitals in Dhaka: A cross-sectional study

et al. 2022

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Background Wearing masks or personal protective equipment (PPE) has become an integral part of the occupational life of physicians due to the coronavirus disease 2019 (COVID-19) pandemic. Most physicians have been developing various health hazards related to the use of different protective gears. This study aimed to determine the burden and spectrum of various health hazards associated with using masks or PPE and their associated risk factors. Methods This cross-sectional survey was conducted in Dhaka Medical College from March 01–May 30, 2021, among physicians from different public hospitals in Dhaka, Bangladesh. We analyzed the responses of 506 physicians who completed case record forms through Google forms or hard copies. Findings The mean (SD) age of the respondents was 35.4 [7.7], and 69.4% were men. Approximately 40% were using full PPE, and 55% were using N-95 masks. A total of 489 (96.6%) patients experienced at least one health hazard. The reported severe health hazards were syncope, severe dyspnea, severe chest pain, and anaphylaxis. Headache, dizziness, mood irritation, chest pain, excessive sweating, panic attack, and permanent facial disfigurement were the minor health hazards reported. Extended periods of work in the COVID-19-unit, reuse of masks, diabetes, obesity, and mental stress were risk factors for dyspnea. The risk factors for headaches were female sex, diabetes, and previous primary headaches. Furthermore, female sex and reusing masks for an extended period (> 6 h) were risk factors for facial disfigurement. The risk factors for excessive sweating were female sex and additional evening office practice for an extended period. Conclusions Healthcare workers experienced several occupational hazards after using masks and PPE. Therefore, an appropriate policy is required to reduce such risks.

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