Mask-associated 'de novo' headache in healthcare workers during the COVID-19 pandemic.

Autor:	Ramirez-Moreno JM; Biomedical Sciences, University of Extremadura, Faculty of Medicine, Badajoz, Spain jramrez@unex.es.; Neurology, Badajoz University Hospital, Badajoz, Spain., Ceberino D; Neurology, Badajoz University Hospital, Badajoz, Spain., Gonzalez Plata A; Neurology, Badajoz University Hospital, Badajoz, Spain., Rebollo B; Neurology, Badajoz University Hospital, Badajoz, Spain., Macias Sedas P; Neurology, Badajoz University Hospital, Badajoz, Spain., Hariramani R; Neurology, Badajoz University Hospital, Badajoz, Spain., Roa AM; Neurology, Badajoz University Hospital, Badajoz, Spain., Constantino AB; Neurology, Badajoz University Hospital, Badajoz, Spain.
Jazyk:	angličtina
Zdroj:	Occupational and environmental medicine [Occup Environ Med] 2020 Dec 30. Date of Electronic Publication: 2020 Dec 30.
DOI:	10.1136/oemed-2020-106956
Abstrakt:	Objectives: The pandemic caused by the new coronavirus (COVID-19) has changed care activities of health professionals. We analysed the possible association between the appearance of 'de novo' headache according to the type of mask used, the related factors and the impact of the cephalalgia on health professionals. Methods: Cross-sectional study in a tertiary hospital in Extremadura, Spain. We provided an online questionnaire to healthcare workers during the period of maximum incidence of COVID-19 in our setting. Results: The subjects are n=306, 244 women (79.7%), with an average age of 43 years (range 23-65). Of the total, 129 (42.2%) were physicians, 112 (36.6%) nurses and 65 (21.2%) other health workers. 208 (79.7%) used surgical masks and 53 (20.3%) used filter masks. Of all those surveyed, 158 (51.6%) presented 'de novo' headache. The occurrence of a headache was independently associated with the use of a filter mask, OR 2.14 (95% CI 1.07 to 4.32); being a nurse, OR 2.09 (95% CI 1.18 to 3.72) or another health worker, OR 6.94 (95% CI 3.01 to 16.04); or having a history of asthma, OR 0.29 (95% CI 0.09 to 0.89). According to the type of mask used, there were differences in headache intensity, and the impact of a headache in the subjects who used a filter mask was worse in all the aspects evaluated. Conclusion: The appearance of 'de novo' headache is associated with the use of filter masks and is more frequent in certain healthcare workers, causing a greater occupational, family, personal and social impact. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu