Статья

Headaches Associated With Personal Protective Equipment – A Cross‐Sectional Study Among Frontline Healthcare Workers During COVID‐19

Jonathan OngDivision of Neurology Department of Medicine National University Hospital Singapore SingaporeBharatendu ChandraDivision of Neurology Department of Medicine National University Hospital Singapore SingaporeYihui GohDivision of Neurology Department of Medicine National University Hospital Singapore SingaporeJonathan Zhe Ying TangDepartment of Emergency Medicine National University Hospital Singapore SingaporeKenneth W.X. SooiDivision of Neurology Department of Medicine National University Hospital Singapore SingaporeYi Lin TanDivision of Neurology Department of Medicine National University Hospital Singapore SingaporeBenjamin Yong‐Qiang TanDivision of Neurology Department of Medicine National University Hospital Singapore SingaporeHock‐Luen TeohDivision of Neurology Department of Medicine National University Hospital Singapore SingaporeShi T. OngDepartment of Emergency Medicine National University Hospital Singapore SingaporeDavid Michael AllenDivision of Infectious Diseases Department of Medicine National University Hospital Singapore SingaporeVijay K. SharmaDivision of Neurology Department of Medicine National University Hospital Singapore Singapore

2020en

ABI

Аннотация

BACKGROUND: Coronavirus disease 2019 (COVID-19) is an emerging infectious disease of pandemic proportions. Healthcare workers in Singapore working in high-risk areas were mandated to wear personal protective equipment (PPE) such as N95 face mask and protective eyewear while attending to patients. OBJECTIVES: We sought to determine the risk factors associated with the development of de novo PPE-associated headaches as well as the perceived impact of these headaches on their personal health and work performance. The impact of COVID-19 on pre-existing headache disorders was also investigated. METHODS: This is a cross-sectional study among healthcare workers at our tertiary institution who were working in high-risk hospital areas during COVID-19. All respondents completed a self-administered questionnaire. RESULTS: A total of 158 healthcare workers participated in the study. Majority [126/158 (77.8%)] were aged 21-35 years. Participants included nurses [102/158 (64.6%)], doctors [51/158 (32.3%)], and paramedical staff [5/158 (3.2%)]. Pre-existing primary headache diagnosis was present in about a third [46/158 (29.1%)] of respondents. Those based at the emergency department had higher average daily duration of combined PPE exposure compared to those working in isolation wards [7.0 (SD 2.2) vs 5.2 (SD 2.4) hours, P < .0001] or medical ICU [7.0 (SD 2.2) vs 2.2 (SD 0.41) hours, P < .0001]. Out of 158 respondents, 128 (81.0%) respondents developed de novo PPE-associated headaches. A pre-existing primary headache diagnosis (OR = 4.20, 95% CI 1.48-15.40; P = .030) and combined PPE usage for >4 hours per day (OR 3.91, 95% CI 1.35-11.31; P = .012) were independently associated with de novo PPE-associated headaches. Since COVID-19 outbreak, 42/46 (91.3%) of respondents with pre-existing headache diagnosis either "agreed" or "strongly agreed" that the increased PPE usage had affected the control of their background headaches, which affected their level of work performance. CONCLUSION: Most healthcare workers develop de novo PPE-associated headaches or exacerbation of their pre-existing headache disorders.

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Идентификаторы

DOI: 10.1111/head.13811

Цитирования и источники

Цитирований: 2Использованных источников: 0

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