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Risk factors for development of personal protective equipment induced headache: e-survey of medical staff in Baltic states.

Title: Risk factors for development of personal protective equipment induced headache: e-survey of medical staff in Baltic states.
Authors: Jokubaitis M; Centre of Neurology, Vilnius University, Vilnius, Lithuania. mantas.jokubaitis1@gmail.com.; Timofejavaitė R; Centre of Neurology, Vilnius University, Vilnius, Lithuania.; Braschinsky M; Neurology Clinic, Tartu University Hospital, Tartu, Estonia.; Department of Neurology and Neurosurgery, University of Tartu, Tartu, Tartu, Estonia.; Zvaune L; Department of Neurology and Neurosurgery, Riga East Clinical University Hospital, Riga, Latvia.; Leheste AR; Neurology Clinic, Tartu University Hospital, Tartu, Estonia.; Gribuste L; Department of Neurology, Pauls Stradins Clinical University Hospital, Riga, Latvia.; Mattila P; Faculty of Medicine, University of Tartu, Tartu, Estonia.; Strautmane S; Department of Neurology, Pauls Stradins Clinical University Hospital, Riga, Latvia.; Faculty of Residency, Riga Stradins University, Riga, Latvia.; Dapkutė A; Centre of Neurology, Vilnius University, Vilnius, Lithuania.; Ryliškienė K; Centre of Neurology, Vilnius University, Vilnius, Lithuania.
Source: BMC health services research [BMC Health Serv Res] 2022 Aug 10; Vol. 22 (1), pp. 1016. Date of Electronic Publication: 2022 Aug 10.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
Imprint Name(s): Original Publication: London : BioMed Central, [2001-
MeSH Terms: COVID-19*/epidemiology ; Personal Protective Equipment*; Headache/epidemiology ; Headache/etiology ; Health Personnel ; Humans ; Medical Staff ; Pandemics ; Risk Factors ; Surveys and Questionnaires
Abstract: Background: The COVID-19 pandemic led to an unprecedented increase in the use of personal protective equipment (PPE) among medical personnel. The goal of this study was to determine the risk factors and frequency of PPE-induced headache during the COVID-19 pandemic.; Methods: From January 25 to March 1, 2021, an anonymous online survey was undertaken in the Baltic states.; Results: In total, 2132 individuals participated. 52.3% experienced a PPE-induced headache. Usual onset time was between 2-3 h, lasting up to 1 h after PPE removal. The most common localization was in temporal and frontal regions. Headache usually occurred 2 to 3 days per week with an average pain score of 5.04 ± 1.80 points. Higher risk was associated with discomfort/pressure OR = 11.55, heat stress OR = 2.228, skin conditions OR = 1.784, long PPE use (duration 10-12 h) OR = 2,18, headache history prior PPE use OR = 1.207. Out of 52.3% respondents with PPE-induced headache, 45.5% developed de novo headache, whereas 54.5% had headache history. Statistically significant differences of PPE-induced headache between respective groups included severity (4.73 vs 5.29), duration (≥ 6 h 6.7% vs 8.2%), accompanying symptoms (nausea (19.3% vs 25.7%), photophobia (19.1% vs 25.7%), phonophobia (15.8% vs 23.5%), osmophobia (5.3% vs 12.0%)) and painkiller use (43.0% vs 61.7%).; Conclusions: Over half of the medical personnel reported headache while using PPE. The risk was higher in individuals with headache history, increased duration of PPE use and discomfort while using PPE. Predisposed individuals reported PPE-induced headache which persisted longer, was more intense and debilitating than in the respondents with de novo headache.; (© 2022. The Author(s).)
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Contributed Indexing: Keywords: Headache; Medical personnel; Personal protective equipment
Entry Date(s): Date Created: 20220810 Date Completed: 20220812 Latest Revision: 20250728
Update Code: 20260130
PubMed Central ID: PMC9363870
DOI: 10.1186/s12913-022-08412-5
PMID: 35948960
Database: MEDLINE

Journal Article