Retinal and choroidal vascularity changes in healthcare professionals wearing FFP3 respirators

Yıldız, Mehmet Kamil; Balcı, Sevcan; Köse, Alev Özçelik; Yenerel, Nursal Melda; Yıldız, Hatice Elvin

doi:10.1080/15569527.2021.1900218

Cited by 5 publications

(1 citation statement)

References 26 publications

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“…A significant increase in heart rate, respiratory rate, and blood pressure has been reported during moderate-to-heavy exertion performed with FFRs compared with exertion without a mask [19]. A recent study reported a significant alteration in ocular vascular structures after wearing FFP3 respirators for 4 h in healthcare professionals [20]. Another study reported that, in healthy individuals, ventilation, cardiopulmonary exercise capacity, and comfort were decreased with surgical masks and substantially deteriorated with the use of FFRs [8].…”

Section: Discussionmentioning

confidence: 99%

Nasal Mucociliary Clearance and Sinonasal Symptoms in Healthcare Professionals Wearing FFP3 Respirators: A Prospective Cross-Sectional Study

Yıldız

Yankuncu

Toros

et al. 2022

ORL

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Introduction: The purpose of the present study was to assess nasal mucociliary clearance (NMC) and sinonasal symptoms of healthcare professionals wearing filtering facepiece-3 (FFP3) respirators. Methods: This prospective cross-sectional study was conducted at a large tertiary care academic center. Thirty-four healthcare professionals working at a coronavirus disease-19 patient care unit were included in the study. Visual analog scale (VAS) scores of sinonasal symptoms (nasal discharge, postnasal discharge, nasal blockage, hyposmia, facial pain/pressure, facial fullness, headache, fatigue, halitosis, cough) and the NMC times of the participants were assessed immediately before wearing FFP3 respirators and after 4 h of work with FFP3 respirators. Results: The mean age of the participants was 28.82 ± 4.95 (range, 26–31) years. Twenty participants were female and 14 were male. After wearing the FFP3 respirators for 4 h, a statistically significant increase was observed in total VAS scores for all sinonasal symptoms and NMC times (p < 0.001). When the VAS score of each sinonasal symptom was evaluated separately, a statistically significant increase was found for VAS scores of nasal discharge, postnasal discharge, nasal blockage, hyposmia, facial pain/pressure, and facial fullness (p < 0.05). Conclusion: The present study shows that nasal mucosal functions might be affected significantly after 4 h of using FFP3 respirators. The long-term effects and clinical significance of these short-term changes should be investigated on healthcare professionals in further studies.

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Section: Discussionmentioning

confidence: 99%

Nasal Mucociliary Clearance and Sinonasal Symptoms in Healthcare Professionals Wearing FFP3 Respirators: A Prospective Cross-Sectional Study

Yıldız

Yankuncu

Toros

et al. 2022

ORL

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Health effects of filtering facepiece respirators: Systematic review of pulmonary and cardiovascular effects

Harber

Beckett

2023

American J Industrial Med

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Filtering facepiece respirators (FFRs) were introduced to protect the wearer by removing small particles from inspired air. FFRs are now also used to reduce the spread of transmissible agents from the wearer and are worn outside traditional healthcare and other workplaces. The COVID‐19 pandemic increased concerns about potential adverse effects on wearers. A PUBMED query retrieved articles through June 2022. Abstracts and selected full‐text articles were systematically reviewed by the authors. This article focuses upon cardiopulmonary physiologic effects (e.g., ventilation, CO 2 elimination, oxygen uptake, and respiratory control) with emphasis upon current and potential research methods as well as summarizing results. 1985 records were identified, of which only 26% were published before 2020. FFR effects on CO 2 elimination appear more likely to be significant than effects on oxygenation or cardiovascular function. While FFRs appear well tolerated by healthy persons, more research is needed for those with pulmonary or cardiac disorders, and for children. Many traditional pulmonary exercise study methods require special care when applied to filtering facepiece respirators. Studying additional parameters may explain the paradox of many subjective discomfort reports despite very limited physiologic effects.

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Changes in pupil size, ocular wavefront aberrations, and accommodation in healthcare workers using FFP3 masks

Ercalik,

Turkseven Kumral,

Mangan

et al. 2023

Int Ophthalmol

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Retinal and choroidal vascularity changes in healthcare professionals wearing FFP3 respirators

Cited by 5 publications

References 26 publications

Nasal Mucociliary Clearance and Sinonasal Symptoms in Healthcare Professionals Wearing FFP3 Respirators: A Prospective Cross-Sectional Study

Nasal Mucociliary Clearance and Sinonasal Symptoms in Healthcare Professionals Wearing FFP3 Respirators: A Prospective Cross-Sectional Study

Health effects of filtering facepiece respirators: Systematic review of pulmonary and cardiovascular effects

Changes in pupil size, ocular wavefront aberrations, and accommodation in healthcare workers using FFP3 masks

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