Evidence map›Paper›PMID 35169028›Full record

ArticleThe European respiratory journal2022

Effects of COVID-19 protective face masks and wearing durations on respiratory haemodynamic physiology and exhaled breath constituents.

Pritam Sukul, Julia Bartels, Patricia Fuchs, Phillip Trefz, Rasmus Remy, Leo Rührmund, Svend Kamysek, Jochen K Schubert, Wolfram Miekisch

Open access · greenAbstract read
In one paragraph

Article in The European respiratory journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
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  4. Risks and benefits of face masks in children.Frontiers in pediatrics · 2026
    Review
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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

9 authors at 1 institution in 1 country.

Pritam SukulRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany pritam.sukul@uni-rostock.de.
Julia BartelsRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
Patricia FuchsRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
Phillip TrefzRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
Rasmus RemyRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
Leo RührmundRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
Svend KamysekRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
Jochen K SchubertRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
Wolfram MiekischRostock Medical Breath Research Analytics and Technologies (ROMBAT), Dept of Anaesthesiology and Intensive Care, University Medicine Rostock, Rostock, Germany.
University of Rostock · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile assumed to protect against coronavirus transmission, face masks may have effects on respiratory-haemodynamic parameters. Within this pilot study, we investigated immediate and progressive effects of FFP2 and surgical masks on exhaled breath constituents and physiological attributes in 30 adults at rest.

methodsWe continuously monitored exhaled breath profiles within mask space in older (age 60-80 years) and young to middle-aged (age 20-59 years) adults over the period of 15 and 30 min by high-resolution real-time mass-spectrometry. Peripheral oxygen saturation (

resultsProfound, consistent and significant (p≤0.001) changes in

conclusionsBreathomics allows unique physiometabolic insights into immediate and transient effects of face mask wearing. Physiological parameters and breath profiles of endogenous and/or exogenous volatile metabolites indicated putative cross-talk between transient hypoxaemia, oxidative stress, hypercarbia, vasoconstriction, altered systemic microbial activity, energy homeostasis, compartmental storage and washout. FFP2 masks had a more pronounced effect than surgical masks. Older adults were more vulnerable to FFP2 mask-induced hypercarbia, arterial oxygen decline, blood pressure fluctuations and concomitant physiological and metabolic effects.

Indexed as

COVID-19ExhalationAdultAgedAged, 80 and overAlcoholsAldehydesCarbon DioxideHemiterpenesHemodynamicsHumansKetonesMasksMiddle AgedMonoterpenesNitrilesAlcoholsAldehydesCarbon DioxideHemiterpenesKetonesMonoterpenesNitrilesOxygen

Identifiers

PMID35169028
PMCPMC9492982
OpenAlexW4213201818

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.