COVID-19 大流行期间墨西哥医护人员与个人防护装备相关的头痛：基线和 6 个月随访。

Headache related to personal protective equipment in healthcare workers during COVID-19 pandemic in Mexico: baseline and 6-month follow-up.

机构信息

Department of Neurology, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Ciudad de Mexico, México.

Department of Internal Medicine, National Institute of Medical Sciences and Nutrition Salvador Zubirán, Ciudad de Mexico, México.

出版信息

Int Arch Occup Environ Health. 2022 Dec;95(10):1945-1954. doi: 10.1007/s00420-022-01895-z. Epub 2022 Jun 18.

DOI:10.1007/s00420-022-01895-z

PMID:35716173

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9206092/

Abstract

BACKGROUND AND AIM

Headaches related to the use of personal protective equipment (PPE) could affect performance at work in healthcare personnel. Our aim was to describe the prevalence and risk factors for headaches related to PPE, in the personnel of a specialized coronavirus disease 2019 (COVID-19) tertiary hospital.

METHODS

In this cross-sectional survey study, we invited healthcare workers from COVID-19 referral center in Mexico (May 22-June 19, 2020) to answer a standardized structure questionnaire on characteristics of new-onset PPE-related headache or exacerbation of primary headache disorder. Participants were invited regardless of whether they had a current headache to avoid selection bias. This is the primary analysis of these data.

RESULTS

Two hundred and sixty-eight subjects were analyzed, 181/268 (67.5%) women, 177/268 (66%) nurses, mean age 28 years. The prevalence of PPE-related headache was 210/268 (78.4%). Independent risk factors were occupation other than physician (OR 1.59, 95% CI 1.20-2.10), age > 30 years (OR 2.54, 95% CI 1.25-5.14), and female sex (OR 3.58, 95% CI 1.86-6.87). In the 6-month follow-up, 13.1% of subjects evolve to chronic headache, with stress as predictive risk factor.

CONCLUSION

The frequency of PPE-associated headache is high, and a subgroup could evolve to chronic headache. More studies are necessary to improve the knowledge about this condition.

摘要

背景与目的

与个人防护装备（PPE）相关的头痛可能会影响医护人员的工作表现。我们旨在描述与 PPE 相关的头痛在一家专门的 2019 年冠状病毒病（COVID-19）三级医院工作人员中的患病率和危险因素。

方法

在这项横断面调查研究中，我们邀请了来自墨西哥 COVID-19 转诊中心的医护人员（2020 年 5 月 22 日至 6 月 19 日）回答一份关于新发 PPE 相关头痛或原发性头痛障碍恶化特征的标准化结构问卷。我们邀请了无论是否有当前头痛的参与者，以避免选择偏倚。这是对这些数据的主要分析。

结果

分析了 268 名受试者，其中 181/268（67.5%）为女性，177/268（66%）为护士，平均年龄 28 岁。PPE 相关头痛的患病率为 210/268（78.4%）。独立的危险因素是医生以外的职业（OR 1.59，95%CI 1.20-2.10）、年龄>30 岁（OR 2.54，95%CI 1.25-5.14）和女性（OR 3.58，95%CI 1.86-6.87）。在 6 个月的随访中，13.1%的受试者发展为慢性头痛，压力是预测危险因素。