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Moshtaghi-Kashanian G, Moshtaghi-Kashanian N, Hassan nejad M, Moshtaghi-Kashanian N, Niroomand Oscuii H. Reduction of Oxygen Saturation and Increase of Heart Rate in Hospital Workers Wearing Face Mask during Routine Shift. Journal of Research in Applied and Basic Medical Sciences 2021; 7 (1) :11-17
URL: http://ijrabms.umsu.ac.ir/article-1-145-en.html
Associate Professor, Biochemistry Department, Qeshm International School of Medicine, affiliated to Islamic Azad University, Qeshm Island, Iran. , moshtaghikashanian@hotmail.com
Abstract:   (3086 Views)
Background & Aims:  The COVID-19 pandemic forced healthcare workers to use Personal Protective Equipment (PPE) or at least wear gowns, gloves, and face masks during their working shifts. Previous research reports some problems such as headaches and itching due to the new working conditions. The present study was conducted to determine the possible physiological changes related to wearing face masks, in the current ongoing situation, among healthy hospital workers.
Materials & Methods: A questionnaire was administered to hospital personnel requesting them to measure their oxygen saturation level (SpO2) and heart beats per minute (BPM) before and after their shifts. They used a pulse oximeter available in their hospital. Eighty-two hospital workers completed their forms, reporting their pre- and post-SpO2 and BPM measurements.
Results: Statistically, the comparison of data (before and after shifts) indicated a significant decrease in SpO2 (98.68±1.56 versus 97.57±1.76, p<0.01) and an associated significant increase in BPM (82.86±7.21 versus 93.14±5.00, p<0.001). Also, there was no significant difference (p>0.05) between the mentioned responses for those who used N-95 masks (10 persons) and those who used surgical masks (72 persons).
Conclusion: Although these changes were all in the reference range for healthy subjects, these fluctuations in the long term can cause physiological and psychological stress among hospital staff during the COVID-19 pandemic.
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Type of Study: orginal article | Subject: General

References
1. Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. Jama 2020;323(13):1239-42. [DOI:10.1001/jama.2020.2648] [PMID]
2. Organization WHO. Rational use of personal protective equipment for coronavirus disease (COVID-19): interim guidance, 27 February 2020. World Health Organization; 2020. [WHO]
3. Lepelletier D, Grandbastien B, Romano-Bertrand S, Aho S, Chidiac C, Gehanno JF, et al. What face mask for what use in the context of COVID-19 pandemic? The French guidelines. J Hosp Infect 2020;105:414-18. [DOI:10.1016/j.jhin.2020.04.036] [PMID] [PMCID]
4. Organization WHO. Rational use of personal protective equipment (PPE) for coronavirus disease (COVID-19): interim guidance, 19 March 2020. World Health Organization; 2020. [WHO]
5. Worby CJ, Chang HH. Face mask use in the general population and optimal resource allocation during the COVID-19 pandemic. Nat Commun 2020;11(1): 1-9. [DOI:10.1038/s41467-020-17922-x] [PMID] [PMCID]
6. Bharatendu C, Ong JJY, Goh Y, Tan BYQ, Chan ACY, Tang JZY, et al. Powered Air Purifying Respirator (PAPR) restores the N95 face mask induced cerebral hemodynamic alterations among Healthcare Workers during COVID-19 Outbreak. J Neurol Sci 2020;417: 1-5. [DOI:10.1016/j.jns.2020.117078] [PMID] [PMCID]
7. Kumar J, Katto MS, Siddiqui AA, Sahito B, Jamil M, Rasheed N, et al. Knowledge, Attitude, and Practices of Healthcare Workers Regarding the Use of Face Mask to Limit the Spread of the New Coronavirus Disease (COVID-19). Cureus 2020;12(4):e7737. [DOI:10.7759/cureus.7737]
8. Szepietowski JC, Matusiak L, Szepietowska M, Krajewski PK, Bialynicki-Birula R. Face Mask-induced Itch: A Self-questionnaire Study of 2,315 Responders During the COVID-19 Pandemic. Acta Derm Venereol 2020;100(10):adv00152. [DOI:10.2340/00015555-3536] [PMID]
9. Scheid JL, Lupien SP, Ford GS, West SL. Commentary: Physiological and Psychological Impact of Face Mask Usage during the COVID-19 Pandemic. Int J Environ Res Public Health 2020;17(18):6655. [DOI:10.3390/ijerph17186655] [PMID] [PMCID]
10. Sickbert-Bennett EE, Samet JM, Clapp PW, Chen H, Berntsen J, Zeman KL, et al. Filtration Efficiency of Hospital Face Mask Alternatives Available for Use During the COVID-19 Pandemic. JAMA Intern Med 2020:E2-6. [DOI:10.1001/jamainternmed.2020.4221] [PMID] [PMCID]
11. Kim MN. What Type of Face Mask Is Appropriate for Everyone-Mask-Wearing Policy amidst COVID-19 Pandemic? J Korean Med Sci 2020;35(20):e186. [DOI:10.3346/jkms.2020.35.e186] [PMID] [PMCID]
12. Rojas-Camayo J, Mejia CR, Callacondo D, Dawson JA, Posso M, Galvan CA, et al. Reference values for oxygen saturation from sea level to the highest human habitation in the Andes in acclimatised persons. Thorax 2018; 73(8):776-78. [DOI:10.1136/thoraxjnl-2017-210598] [PMID]
13. O'Sullivan SB, Schmitz TJ, Fulk G. Physical rehabilitation. 7th ed. Philadelphia: FA Davis; 2019. P. 52 [Google Book]
14. Beder A, Büyükkoçak Ü, Sabuncuoğlu H, Keskil Z, Keskil S. Preliminary report on surgical mask induced deoxygenation during major surgery. Neurocirugia 2008;19(2):121-6. [DOI:10.1016/S1130-1473(08)70235-5]
15. Povea C, Schmitt L, Brugniaux J, Nicolet G, Richalet J-P, Fouillot J-P. Effects of intermittent hypoxia on heart rate variability during rest and exercise. High Alt Med Biol 2005;6(3):215-25. [DOI:10.1089/ham.2005.6.215] [PMID]
16. Organization WHO. Technical Specifications for Oxygen Concentrators: WHO Medical Device Technical Series: World Health Organization; 2016. [WHO]
17. Del Rosso S, Nakamura FY, Boullosa DA. Heart rate recovery after aerobic and anaerobic tests: is there an influence of anaerobic speed reserve? J Sports Sci 2017;35(9):820-7. [DOI:10.1080/02640414.2016.1166391] [PMID]
18. Van Zundert TC, Van Overloop J, Tran DQ, Van Zundert AA. Operating 12-Hour Staff Shifts on Coronavirus Disease-2019 Patients: A Harmful and Unwanted Proposal. Anesth Analg 2020;85:1-2. [DOI:10.1213/ANE.0000000000005202] [PMID] [PMCID]
19. Engelen M, Porszasz J, Riley M, Wasserman K, Maehara K, Barstow TJ. Effects of hypoxic hypoxia on O2 uptake and heart rate kinetics during heavy exercise. J Appl Physiol 1996;81(6):2500-8. [DOI:10.1152/jappl.1996.81.6.2500] [PMID]
20. Halliwill JR, Minson CT. Effect of hypoxia on arterial baroreflex control of heart rate and muscle sympathetic nerve activity in humans. J Appl Physiol 2002;93(3):857-64. [DOI:10.1152/japplphysiol.01103.2001] [PMID]
21. Feiner JR, Finlay-Morreale HE, Toy P, Lieberman JA, Viele MK, Hopf HW, et al. High oxygen partial pressure decreases anemia-induced heart rate increase equivalent to transfusion. Anesthesiology 2011;115(3):492-98. [DOI:10.1097/ALN.0b013e31822a22be] [PMID] [PMCID]
22. Netzer N, Eliasson AH, Netzer C, Kristo DA. Overnight pulse oximetry for sleep-disordered breathing in adults: a review. Chest 2001;120(2):625-33. [DOI:10.1378/chest.120.2.625] [PMID]
23. García-Trabanino R, Jarquín E, Wesseling C, Johnson RJ, González-Quiroz M, Weiss I, et al. Heat stress, dehydration, and kidney function in sugarcane cutters in El Salvador-a cross-shift study of workers at risk of Mesoamerican nephropathy. Environ Res 2015;142:746-55. [DOI:10.1016/j.envres.2015.07.007] [PMID]
24. Gracia-Perez-Bonfils A, Martinez-Perez O, Llurba E, Chandraharan E. Fetal heart rate changes on the cardiotocograph trace secondary to maternal COVID-19 infection. Eur J Obstet Gynecol Reprod Biol 2020; 252:286-93. [DOI:10.1016/j.ejogrb.2020.06.049] [PMID] [PMCID]
25. Abd-Elsayed A, Karri J. Utility of Substandard Face Mask Options for Health Care Workers During the COVID-19 Pandemic. Anesth Analg 2020;131(1):4-6. [DOI:10.1213/ANE.0000000000004841] [PMID] [PMCID]
26. Szczesniak D, Ciulkowicz M, Maciaszek J, Misiak B, Luc D, Wieczorek T, et al. Psychopathological responses and face mask restrictions during the COVID-19 outbreak: Results from a nationwide survey. Brain Behav Immun 2020;87:161-2. [DOI:10.1016/j.bbi.2020.05.027] [PMID] [PMCID]

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