Effect of Various Types of Face Masks on Oxygen Saturation, Heart Rate & Respiratory Rate in Health Care Workers of Tertiary Teaching Hospital, Raipur (C.G.)

Main Article Content

Shikha Jaiswal, M.D. Ajay Kumar Halwai, M.D. Ajitesh kumar Mishra Divish Aggarwal Raka Sheohare, M.D. FNIC

Abstract

Background: Healthcare workers are at a higher risk of having Covid infection than other professionals. Thus, it is more important for them to wear face masks for themselves and for the sake of their co-workers and public health. The use of face masks is mainly limited by their perceived discomfort and concerns regarding inadequate gas exchange. Still, there are serious concerns about the use of masks over a long period.


 


Aims: This study aimed to study the effects of different types of face masks on clinical parameters like oxygen saturation, Respiratory rate, and pulse rate.


 


Methods: A cross-sectional observational study was conducted on 218 subjects from March 2021 to April 2021. They used different types of masks-like cloth masks, surgical masks, N95 masks, and double masks. A pulse oximeter applied to the index finger was used for the non-invasive determination of clinical parameters like oxygen saturation, heart rate, and respiratory rate.


 


Results: There was a significant decrease in oxygen saturation seen in subjects using the surgical mask and N-95 mask, but there was no change in oxygen saturation in participants who wore cloth masks. In our study, heart rates increased significantly at the end of the study in all groups irrespective of the mask they wore. However, the respiratory rate increased significantly only in those participants who wore N-95 masks.


 


Conclusion: Our study concludes that wearing a face mask for a long period induces an increase in heart rate and shortness of breath along with a significant reduction in oxygen saturation.

Keywords: COVID-19, SpO2, Mask, Pulse Oximeter

Article Details

How to Cite
JAISWAL, Shikha et al. Effect of Various Types of Face Masks on Oxygen Saturation, Heart Rate & Respiratory Rate in Health Care Workers of Tertiary Teaching Hospital, Raipur (C.G.). Medical Research Archives, [S.l.], v. 11, n. 3, mar. 2023. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/3675>. Date accessed: 23 apr. 2024. doi: https://doi.org/10.18103/mra.v11i3.3675.
Section
Research Articles

References

1. Chu DK, Akl EA, Duda S, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. Lancet 2020;395:1973–87.
2. World Health Organization. Advice on the use of masks in the context of COVID-19: interim guidance. Geneva, Switzerland: World Health Organization; 2020 [updated 2020 Jun 5; accessed 2020 Jul 23]. Available from: https://apps.who.int/iris/bitstream/handle/10665/ 332293/WHO-2019-nCov-IPC_Masks-2020.4-eng.pdf?
3. Mutambudzi M, Niedzwiedz C, Macdonald EB, et al. Occupation and risk of severe COVID-19: a prospective cohort study of 120 075 UK Biobank participants. Occup Environ Med 2021;78:307–314.
4. Tadesse T, Tesfaye T, Alemu T, Haileselassie W. Healthcare worker's knowledge, attitude, and practice of proper face mask utilization, and associated factors in police health facilities of Addis Ababa, Ethiopia. J Multidiscip Healthc. 2020;13: 1203-1213. PubMed
5. Ejeh FE, Saidu AS, Owoicho S, Maurice NA, Jauro S, Madukaji L et al. Knowledge, attitude, and practice among healthcare workers towards COVID-19 outbreak in Nigeria. Heliyon. 2020;6(11): e05557. PubMed
6. Amodan BO, Bulage L, Katana E, Ario AR, Fodjo JNS, Colebunders R et al. Level and determinants of adherence to COVID-19 preventive measures in the first stage of the outbreak in Uganda. Int J Environ Res Public Health. 2020;17(23): 8810. PubMed
7. https://www.mayoclinic.org/symptoms/hypoxemia/basics/definition/sym-20050930
8. Shaw K, Butcher S, Ko J, Zello GA, Chilibeck PD. Wearing of cloth or disposable surgical face masks has no effect on vigorous exercise performance in healthy individuals. International Journal of Environmental Research and Public Health. 2020 Jan;17(21):8110
9. Chan NC, Li K, Hirsh J. Peripheral oxygen saturation in older persons wearing nonmedical face masks in community settings. JAMA 2020;324:2323–4.
10. Shaw K, Butcher S, Ko J, et al. Wearing of cloth or disposable surgical face masks has no effect on vigorous exercise performance in healthy individuals. Int J Environ Res Public Health 2020;17:8110
11. Fikenzer S, Uhe T, Lavall D, et al. Effects of surgical and FFP2/N95 face masks on cardiopulmonary exercise capacity [published online ahead of print, 2020 Jul 6]. Clin Res Cardiol. 2020;1–9. https:// doi. org/ 10. 1007/s00392- 020- 01704-y.8.
12. Boyd K, Saccomanno S, Lewis CJ, CoceaniPaskay L, Quinzi V, Marzo G.Myofunctional therapy. Part 1: Culture, industrialisation and the shrinking human face. Eur J Paediatr Dent. 2021;22(1):80–1. https:// doi. org/ 10.23804/ ejpd. 2021. 22. 01. 15.
13. Roberge RJ, Kim JH, Benson SM. Absence of consequential changes in physiological, thermal and subjective responses from wearing a surgical mask. Respir Physiol Neurobiol. 2012; 181(1): 29–35. https://doi.org/10.1016/j.resp. 2012. 01.010.
14. McKeown P. The Breathing Cure. Pag 170 and 756. Ireland: OxyAt Books;2021.
15. Watts S. Why It Feels Like You Can’t Breathe Inside Your Face Mask—and What to Do About It 2020 [October 11, 2020]. Available from: https://www.discovermagazine.com/health/why-it-feels-like-you-cant-breathe-inside-your-face-mask-and-what-to-do.
16. Wojtasz I, Cofta S, Czudaj P, Jaracz K, Kaźmierski R. Effect of Face Masks on Blood Saturation, Heart Rate, and Well-Being Indicators in Health Care Providers Working in Specialized COVID-19 Center. International Journal of Environmental Research and Public Health. 2022 Jan 26;19(3):1397.
17. Dirol H, Alkan E, Sindel M, Ozdemir T, Erbas D: The physiological and disturbing effects of surgical face masks in the COVID-19 era, Bratisl Med J 2021;122 (11) 821-825.
18. Roberge RJ, Coca A, Williams WJ, Powell JB, Palmiero AJ. Physiological impact of the N95 filtering facepiece respirator on healthcare workers. Respir Care. 2010;55(5): 569-577
19. Majek P, Kaleta-Pilarska A, Barański K. The use of protective masks and the level of arterial oxygen saturation at rest and after exercise. Medycyna Pracy. 2022;73(5):363-8.
20. Tabansi PN, Onubogu U. Blood oxygen saturation and prolong face mask use in healthcare workers in Port Harcourt Nigeria, in the COVID-19 pandemic era. Asian Journal of Cardiology Research. 2020;3(2): 1-11.
21. Arinze Duke George Nwosu et al. Oxygen saturation and perceived discomfort with face mask types, in the era of COVID-19: a hospital-based cross-sectional study. Pan African Medical Journal. 2021;39(203). 10.11604/pamj.2021.39.203.28266
22. Rebmann T, Carrico R, Wang J. Physiologic and other effects and compliance with long-term respirator use among medical intensive care unit nurses. Am J Infect Control. 2013;41(12):1218–23. Epub 2013/06/19. 10.1016/j.ajic.2013.02.017
23. Nwosu AD, Ossai EN, Onwuasoigwe O, Ahaotu F. Oxygen saturation and perceived discomfort with face mask types, in the era of COVID-19: a hospital-based cross-sectional study. Pan African Medical Journal. 2021 Jul 16;39(1).