Öz
Amaç: Koronavirüs Hastalığı 2019 (COVID-19) ortaya çıktıktan sonra, düzenli olarak kişisel koruyucu ekipman kullanan sağlık çalışanları arasında yeni baş ağrısının geliştiği veya mevcut olanın kötüleştiği bildirilmiştir. Bu çalışma ile, kullanılan maske ile ilişkili ortaya çıkan de-novo (yeni başlayan) baş ağrısı özellikleri ile önceden var olup şiddetlenen baş ağrıları arasındaki olası ilişkiyi araştırdık. Somali adına bu konudaki ilk çalışmadır.
Yöntemler: Bu, Somali Mogadişu COVID-19 pandemi hastanesinde yürütülen kesitsel bir çalışmadır ve gönüllü sağlık çalışanları ile yapılmıştır. Veriler anket yoluyla toplanmıştır. Ankette katılımcılara 15 soru soruldu ve istatistik olarak Pearson-ki-kare testi kullanıldı.
Bulgular: Bu çalışmaya hastanede görev yapan 200 sağlık çalışanı ile yapılmış olup 114'ü (%57) erkek, 86'sı (%43) kadındı ve de yaş ortalaması 28 idi. Katılımcılar 90(%45) cerrahi maske, 32(%16) filtreli maske (N95), 78(%39) her ikisini de kullanıyordu; çoğunluğu 109 (%54,5) günde 6 saatten fazla sürede maske takmıştı. Deneklerin 78'i (%39) önceden var olan bir baş ağrısı olduğunu bildirdi. Önceden baş ağrısı olanların 55'i (%70) baş ağrılarının şiddetlendiğini belirtti. Maske kullanım süresi ile önceden var olan baş ağrısının şiddetlenmesi arasında istatistiksel olarak anlamlı bir ilişki bulundu. De-novo baş ağrısı özellikleri zonklayıcı 21 (%20), baskıcı 31 (%29), tek taraflı 19 (%18), ve 35 (%33) bilateraldi. Maske tipinden bağımsız olarak yüz maskesi kullanım süresi ile de-novo baş ağrısı gelişimi arasında da istatistiksel olarak anlamlı ilişki bulundu.
Sonuç: Çalışmamıza göre, COVID-19 pandemisi sırasında uzun süreli yüz maskesi kullanımı, de-novo baş ağrıları ve önceden var olan baş ağrısının şiddetlenmesi ile ilişkilendirilmiştir. Sağlık çalışanları ve bazı hastalar maske takmaya devam ettiklerinden dolayı şikayete sebep olan bu durum, araştırılmaya devam edecektir.
Anahtar Kelimeler
Destekleyen Kurum
none
Proje Numarası
none
Teşekkür
Somali-Türkiye Eğitim ve Araştırma Hastanesi
Kaynakça
- Gulen TA, Imre A, Bozok T. Risk factors for hospital mortality of patients with COVID-19 and 6-month follow-up of discharged patients. Dicle MedJ. 2022;49(4):579-589.
- Asadi-Pooya AA, Simani L. Central nervous system manifestations of COVID-19: a systematic review. Journal of the neurological sciences. 2020;15;413:116832.
- Zamanian MH, Janbakhsh A, Mansouri F, Sayad B, Afsharian M, Vaziri S, Mahdavian B, Afshar ZM, Miladi R, Shirvani M, Noori M. Neurological Manifestations of Hospitalized Patients with Covid-19: A Case Series Study. ActaMedicaBulgarica. 2021;48(3):41-5.
- Romero-Sánchez CM, Díaz-Maroto I, Fernández-Díaz E et al. Neurologic manifestations in hospitalized patients with COVID-19: the ALBACOVID registry. Neurology. 2020; 25;95(8):e1060-70.
- Zubair AS, McAlpine LS, Gardin T et al. Neuropathogenesis and neurologic manifestations of the coronaviruses in the age of coronavirus disease 2019: a review. JAMA neurology. 2020;1;77(8):1018-27.
- Rosner E. Adverse effects of prolonged mask use among healthcare professionals during COVID-19. J Infect Dis Epidemiol. 2020;6(3):130.
- Jy Ong J, Bharatendu C, Goh Y et al. Headaches associated with personal protective equipment-a cross-sectional study amongst frontline healthcare workers during COVID-19 (HAPPE Study). Headache. 2020;30;60:864-77.
- Lim EC, Seet RC, Lee KH et al. Headaches and the N95 face‐mask amongst healthcare providers. ActaNeurologicaScandinavica. 2006;113(3):199-202.
- Toksoy CK, Demirbaş H, Bozkurt E et al. Headache related to mask use of healthcare workers in COVID-19 pandemic. The Korean journal of pain. 2021;1;34(2):241-5.
- Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Canadian Journal of Anesthesia/Journal canadiend'anesthésie. 2020;67(5):568-76.
- Moore D, Gamage B, Bryce E et al. Interdisciplinary Respiratory Protection Study Group. Protecting health care workers from SARS and other respiratory pathogens: organizational and individual factors that affect adherence to infection control guidelines. American journal of infection control. 2005;1;33(2):88-96.
- Fischer WA, Hynes NA, Perl TM. Protecting health care workers from Ebola: personal protective equipment is critical but is not enough. Annals of internal medicine. 2014;18;161(10):753-4.
- Sprecher AG, Caluwaerts A, Draper M et al. Personal protective equipment for filovirus epidemics: a call for better evidence. The Journal of infectious diseases. 2015;1;212(suppl_2):S98-100.
- Alajmi J, Jeremijenko AM, Abraham JC et al. COVID-19 infection among healthcare workers in a national healthcare system: The Qatar experience. International Journal of Infectious Diseases. 2020;1;100:386-9.
- Sabetian G, Moghadami M, HashemizadehFardHaghighi L et al. COVID-19 infection among healthcare workers: a cross-sectional study in southwest Iran. Virology journal. 2021;18(1):1-8.
- Ramirez-Moreno JM, Ceberino D, Plata AG et al. Mask-associated ‘de novo’headache in healthcare workers during the COVID-19 pandemic. Occupational and Environmental Medicine. 2021;1;78(8):548-54.
- Johnson AT. Respirator masks protect health but impact performance: a review. Journal of biological engineering. 2016;10(1):1-2.
- Krymchantowski AV. Headaches due to external compression. Current pain and headache reports. 2010;14(4):321-4.
- Liang Z, Galea O, Thomas L et al. Cervical musculoskeletal impairments in migraine and tension type headache: A systematic review and meta-analysis. Musculoskeletal Science and Practice. 2019;1;42:67-83.
- Barmherzig R, Kingston W. Occipital neuralgia and cervicogenic headache: diagnosis and management. Current neurology and neuroscience reports. 2019;19(5):1-8.
Öz
Aim: After the outbreak of Coronavirus Disease 2019 (COVID-19), new headaches have been reported to develop or worsen among healthcare workers who regularly wear personal protective equipments. In this study, we investigated the possible relationship between de-novo (new-onset) headache features associated with the mask used and pre-existing and exacerbated headaches. It is the first study on this subject on behalf of Somalia.
Methods: This is a cross-sectional study conducted at the Mogadishu COVID-19 pandemic hospital, Somalia, with volunteer healthcare workers. Data were collected through a questionnaire. Participants were asked 15 questions in the survey and Pearson-chi-square test was used as statistics.
Results: This study was conducted with 200 healthcare workers working in the hospital, 114 (57%) were male, 86 (43%) were female, and the mean age was 28. Participants 90 (45%) used surgical masks, 32 (16%) filtered masks (N95), 78 (39%) both; majority of 109 (54.5%) wore masks for more than 6 hours a day. Pre-existing headache was reported by78(39%) of the subjects. 55(70%) of those with pre-existing headache reported aggravation of their headache. Statistically significant relationship was found between duration of mask use and aggravation of pre-existing headache. De-novo headache characteristics were throbbing 21(20%), pressing 31(29%), unilateral 19(18%), and 35(33%) bilateral. A statistically significant relationship was also found between the duration of use of face mask and the development of de-novo headache, regardless of mask type.
Conclusion: As per our study, prolonged use of face masks during COVID-19 pandemics was associated with de-novo headaches and exacerbation of pre-existing headache. This situation, which has caused complaints as healthcare professionals and some patients continue to wear masks, will continue to be investigated.
Anahtar Kelimeler
Proje Numarası
none
Kaynakça
- Gulen TA, Imre A, Bozok T. Risk factors for hospital mortality of patients with COVID-19 and 6-month follow-up of discharged patients. Dicle MedJ. 2022;49(4):579-589.
- Asadi-Pooya AA, Simani L. Central nervous system manifestations of COVID-19: a systematic review. Journal of the neurological sciences. 2020;15;413:116832.
- Zamanian MH, Janbakhsh A, Mansouri F, Sayad B, Afsharian M, Vaziri S, Mahdavian B, Afshar ZM, Miladi R, Shirvani M, Noori M. Neurological Manifestations of Hospitalized Patients with Covid-19: A Case Series Study. ActaMedicaBulgarica. 2021;48(3):41-5.
- Romero-Sánchez CM, Díaz-Maroto I, Fernández-Díaz E et al. Neurologic manifestations in hospitalized patients with COVID-19: the ALBACOVID registry. Neurology. 2020; 25;95(8):e1060-70.
- Zubair AS, McAlpine LS, Gardin T et al. Neuropathogenesis and neurologic manifestations of the coronaviruses in the age of coronavirus disease 2019: a review. JAMA neurology. 2020;1;77(8):1018-27.
- Rosner E. Adverse effects of prolonged mask use among healthcare professionals during COVID-19. J Infect Dis Epidemiol. 2020;6(3):130.
- Jy Ong J, Bharatendu C, Goh Y et al. Headaches associated with personal protective equipment-a cross-sectional study amongst frontline healthcare workers during COVID-19 (HAPPE Study). Headache. 2020;30;60:864-77.
- Lim EC, Seet RC, Lee KH et al. Headaches and the N95 face‐mask amongst healthcare providers. ActaNeurologicaScandinavica. 2006;113(3):199-202.
- Toksoy CK, Demirbaş H, Bozkurt E et al. Headache related to mask use of healthcare workers in COVID-19 pandemic. The Korean journal of pain. 2021;1;34(2):241-5.
- Wax RS, Christian MD. Practical recommendations for critical care and anesthesiology teams caring for novel coronavirus (2019-nCoV) patients. Canadian Journal of Anesthesia/Journal canadiend'anesthésie. 2020;67(5):568-76.
- Moore D, Gamage B, Bryce E et al. Interdisciplinary Respiratory Protection Study Group. Protecting health care workers from SARS and other respiratory pathogens: organizational and individual factors that affect adherence to infection control guidelines. American journal of infection control. 2005;1;33(2):88-96.
- Fischer WA, Hynes NA, Perl TM. Protecting health care workers from Ebola: personal protective equipment is critical but is not enough. Annals of internal medicine. 2014;18;161(10):753-4.
- Sprecher AG, Caluwaerts A, Draper M et al. Personal protective equipment for filovirus epidemics: a call for better evidence. The Journal of infectious diseases. 2015;1;212(suppl_2):S98-100.
- Alajmi J, Jeremijenko AM, Abraham JC et al. COVID-19 infection among healthcare workers in a national healthcare system: The Qatar experience. International Journal of Infectious Diseases. 2020;1;100:386-9.
- Sabetian G, Moghadami M, HashemizadehFardHaghighi L et al. COVID-19 infection among healthcare workers: a cross-sectional study in southwest Iran. Virology journal. 2021;18(1):1-8.
- Ramirez-Moreno JM, Ceberino D, Plata AG et al. Mask-associated ‘de novo’headache in healthcare workers during the COVID-19 pandemic. Occupational and Environmental Medicine. 2021;1;78(8):548-54.
- Johnson AT. Respirator masks protect health but impact performance: a review. Journal of biological engineering. 2016;10(1):1-2.
- Krymchantowski AV. Headaches due to external compression. Current pain and headache reports. 2010;14(4):321-4.
- Liang Z, Galea O, Thomas L et al. Cervical musculoskeletal impairments in migraine and tension type headache: A systematic review and meta-analysis. Musculoskeletal Science and Practice. 2019;1;42:67-83.
- Barmherzig R, Kingston W. Occipital neuralgia and cervicogenic headache: diagnosis and management. Current neurology and neuroscience reports. 2019;19(5):1-8.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Original Article |
| Yazarlar | |
| Proje Numarası | none |
| Erken Görünüm Tarihi | 29 Ağustos 2023 |
| Yayımlanma Tarihi | 31 Ağustos 2023 |
| Gönderilme Tarihi | 7 Mart 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 33 Sayı: 4 |
Genel Tıp Dergisi Creative Commons Atıf-GayriTicari 4.0 Uluslararası Lisansı (CC BY NC) ile lisanslanmıştır.