Facemask headache: A new nosographic entity among healthcare providers in COVID-19 era

Rapisarda, Laura; Fortunato, Francesco; Martino, Antonio; Marsico, Oreste; Demonte, Giulio; Augimeri, Antonio; Labate, Angelo; Gambardella, Antonio; Trimboli, Michele

doi:10.1016/j.jns.2021.119801

Cited by 5 publications

(8 citation statements)

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“…We surveyed 305 Mexican HCWs to investigate the association between PPE use and de novo headaches. The prevalence of de novo PPE-associated headaches in our study was 39.01%, quite similar to the reported prevalence in another studies [7][8][9][10][11] .…”

Section: Discussionsupporting

confidence: 91%

“…As a consequence of this pandemic healthcare workers (HCWs) were forced to use personal protective equipment (PPE). The prolonged use of PPE has been associated with skin lesions 3 , head and facial discomfort due to heat and humidity, pressure, pain, itching 4,5 , difficulty breathing, fatigue, exertion, 6 and de novo headaches [7][8][9][10][11] . These may negatively impact HCWs' performance and tolerance to long-term use of PPE 12,13 .…”

Section: Introductionmentioning

confidence: 99%

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Cefalea por uso de mascarilla y protección ocular en trabajadores de la salud durante la pandemia de COVID-19

Collado-Corona¹,

Arch-Tirado²,

Gandarilla-Martínez³

2022

CIRU

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Objective:The objective of this study was to investigate the prevalence, clinical features, and factors related to personal protective-associated headaches. Methods: We conducted a cross-sectional study among healthcare workers using an online questionnaire. Results: We surveyed 305 participants. The N95 face-mask was the most used device by 93%. Of 305 respondents, 206 experienced headaches while wearing protective equipment; 36.06% suffered from a headache disorder before the pandemic. The prevalence of de novo headache was 39.01%. Gender, age, or exposure to coronavirus disease were not determining factors to develop headache. Headache intensity was higher in front-line healthcare workers and was correlated (r = 0.728) with the time wearing protective equipment. The more days per month the participants wore personal protective equipment the shorter the time to headache onset after donning equipment. Conclusion: Our study confirms the relationship between frequent and prolonged use of protection devices with headaches and reaffirms the implication of external pressure as a primary mechanism.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Cefalea por uso de mascarilla y protección ocular en trabajadores de la salud durante la pandemia de COVID-19

Collado-Corona¹,

Arch-Tirado²,

Gandarilla-Martínez³

2022

CIRU

View full text Add to dashboard Cite

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“…According to previous studies in different healthcare settings (Back et al, 2020; Díaz‐Agea et al, 2022; Rubinelli et al, 2020), our results confirm that, although facemasks contributed to increase the feeling of safety of blood donation staff at the beginning of the pandemic, their impact on professional tasks and relationship with blood donors is relevant. In line with existing data (Rapisarda et al, 2021), most healthcare professionals in our study reported discomfort and fatigue related to the continuous use of facemasks, with shortness of breath and headache the most mentioned disturbances.…”

Section: Discussionsupporting

confidence: 92%

The impact of facemasks on blood donation process: The professionals' perspective

Bani

Raggi

Russo

et al. 2022

Nursing & Health Sciences

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Facemasks represent an essential measure of prevention against the spread of COVID-19; however, they lessen the ability to convey and understand emotions through facial expressions. In blood donation settings, facemasks may interfere with professionals' tasks. This qualitative study aims to describe healthcare staff's experiences, beliefs, and attitudes toward facemask wearing and strategies used to overcome communication and relational barriers along the blood donation process.Semistructured qualitative interviews were conducted with 25 healthcare professionals (14 physicians and 11 nurses) working in Italian blood donation centers. The framework analysis method was used to organize the data and identify emerging themes. More than 70% of participants reported discomfort and a negative impact on communicating effectively with donors and building empathic relationships. The difficulty to detect early signs of adverse reactions was reported by almost all nurses, and physicians were concerned that facemasks limited the identification of donors and the detection of deferral criteria. Facemasks have changed the blood donation process, reducing the healthcare professionals' ability to build empathic relationships and communicate with donors effectively. New strategies should be developed to overcome these limitations.

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“…10 This number was similar to the prevalence reported by Köseoğlu Toksoy et al, 11 30.9%. Zaheer et al 12 concluded the prevalence of PPE-associated ECH in Pakistan was 28.2%, identical to the majority in Italy reported by Rapisarda et al, 13 which was 26.50%.…”

Section: Introductionsupporting

confidence: 53%

Factors Associated with the Prevalence of External Compression Headache Attributed to Personal Protection Equipment Usage

Susanti¹,

Syafrita²

2022

Glob Med Health Commun

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Personal protective equipment (PPE) in the COVID-19 pandemic era is essential for healthcare workers to decrease the risk of infection. The PPE, such as N95 masks and goggles, can trigger external-compression headache (ECH). This study aimed to determine the factors associated with the prevalence of ECH attributed to PPE usage. It was an analytic-observational study with a cross-sectional design conducted at Dr. M. Djamil Hospital Padang in May 2020. The subjects were healthcare workers (doctors and nurses) who used level 3 PPE for a minimum of 4 hours. The diagnosis of ECH was determined by the International Classification of Headache Disorders (ICHD) 3rd edition criteria. The Headache Screening Questionnaire (HSQ) determined the pre-existing primary headaches. The association between variables was analyzed using chi-square and Kruskal-Wallis tests. P-value<0.05 was considered statistically significant. A total of 113 healthcare workers participated in this study, consisting of 46 (40.7%) males and 67 (59.3%) females. The median age was 30 (23–46) years. ECH occurred in 102 (90.3%) respondents. Pre-existing primary headaches were present in 79 (69.9%) respondents, including migraine in 28 (23.6%) and tension-type headaches (TTH) in 46 (40.7%) respondents. The frontalis (69%) and temporalis (50.4%) were the most affected muscles. In this study, the significant factor associated with ECH was pre-existing primary headache (p=0.001, OR=7.795). There was a significant association between the pre-existing TTH (p=0.022) and ECH. There was a non-significant association between pre-existing migraine and ECH (p=0.284). In conclusion, the pre-existing primary headache was associated with the prevalence of ECH attributed to PPE usage.

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Facemask headache: A new nosographic entity among healthcare providers in COVID-19 era

Cited by 5 publications

References 0 publications

Cefalea por uso de mascarilla y protección ocular en trabajadores de la salud durante la pandemia de COVID-19

Cefalea por uso de mascarilla y protección ocular en trabajadores de la salud durante la pandemia de COVID-19

The impact of facemasks on blood donation process: The professionals' perspective

Factors Associated with the Prevalence of External Compression Headache Attributed to Personal Protection Equipment Usage

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