Evidence map›Paper›PMID 34926978›Full record

ArticleOTO open

N95 vs Half-face Respirator Wear in Surgical Trainees: Physiologic and Psychological Effects of Prolonged Use.

Erin R Cohen, Stefanie Peña, Carly Misztal, Thomas Iglesias, Mantero Alejandro, Christine T Dinh, Gregory Holt, Giovana R Thomas

Open access · goldAbstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Risks and benefits of face masks in children.Frontiers in pediatrics · 2026
    Review
  3. Effect of Surgical Masks and N95 Respirators on Anxiety.Neuropsychiatric disease and treatment · 2024
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Erin R CohenDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Stefanie PeñaDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Carly MisztalDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida, USA.ORCID https://orcid.org/0000-0002-6724-8890
Thomas IglesiasDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Mantero AlejandroDepartment of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Christine T DinhDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Gregory HoltDepartment of Pulmonology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
Giovana R ThomasDepartment of Otolaryngology, Miller School of Medicine, University of Miami, Miami, Florida, USA.
University of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAs specialists of the upper airway, otolaryngologists are at high risk for COVID-19 transmission. N95 and half-face respirator (HFR) masks are commonly worn, each with advantages in functionality and comfort. In this study, physiologic and psychological parameters of prolonged N95 vs HFR wear were compared. STUDY

designProspective crossover cohort study.

settingSingle academic tertiary care hospital.

methodsA prospective crossover cohort study was performed. Healthy otolaryngology trainees and medical students (N = 23) participated and wore N95 and HFR masks continuously for 3 hours each on separate days. Various measures were analyzed: vitals, spirometry variables, scores on the State-Trait Anxiety Inventory and HIT-6 (Headache Impact Test-6), distress, and "difficulty being understood."

resultsThe average age was 26.3 years (SD, 3.42). There were no significant differences in vital signs and spirometry variables between N95 and HFR wear. N95 wear was associated with decreases in oxygen saturation of approximately 1.09% more than with HFRs (95% CI, 0.105-2.077). State-Trait Anxiety Inventory scores increased more with HFR wear when compared with mean changes with N95 wear (95% CI, 1.350-8.741). There were no significant differences in HIT-6 scores or distress levels between masks. The proportions of participants reporting difficulty being understood was significantly higher with HFRs.

conclusionsOxygen saturation decreases with prolonged N95 wear, but anxiety and difficulty being understood are greater with HFR wear. Although HFRs have less resistance to gas exchange, N95 respirators may produce less anxiety and distress in clinical situations. Further studies are warranted to evaluate the clinical significance of these differences. LEVEL OF EVIDENCE: 2.

Indexed as

anxietyCOVID-19half-face respiratorsN95otolaryngologistoxygen saturationpandemicphysiologic effectspsychological effectsresidents

Identifiers

PMID34926978
PMCPMC8671672
OpenAlexW4200207825

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.