title: A pilot study of sound levels in an Australian adult general intensive care unit.
abstract: High technology and activity levels in the intensive care unit (ICU) lead to elevated and disturbing sound levels. As noise has been shown to affect the ability of patients to rest and sleep, continuous sound levels are required during sleep investigations. The aim of this pilot study was to develop a robust protocol to measure continuous sound levels for a larger more substantive future study to improve sleep for the ICU patient. A review of published studies of sound levels in intensive care settings revealed sufficient information to develop a study protocol. The study protocol resulted in 10 usable recordings out of 11 attempts to collect pilot data. The mean recording time was 17.49 +/- 4.5 h. Sound levels exceeded recommendations made by the World Health Organization (WHO) for hospitals. The mean equivalent sound level (LAeq) was 56.22 +/- 1.65 dB and LA90 was 46.8 +/- 2.46 dB. The data reveal the requirement for a noise reduction program within this ICU.
authors.affiliation: Faculty of Nursing, Midwifery and Health, University of Technology, Sydney, Australia. rmelliot@nsccahs.health.nsw.gov.au
authors.forename: Rosalind M
authors.initials: RM
authors.lastname: Elliott
authors.forename: Sharon M
authors.initials: SM
authors.lastname: McKinley
authors.forename: David
authors.initials: D
authors.lastname: Eager
mesh_terms: D000222:Adaptation, Physiological; D000223:Adaptation, Psychological; D001315:Australia; D016638:Critical Illness; D004781:Environmental Exposure / Q000009:adverse effects*; D006801:Humans; D007362:Intensive Care Units; D009622:Noise / Q000009:adverse effects*; D010865:Pilot Projects; D012146:Rest; D012890:Sleep; D012893:Sleep Wake Disorders / Q000209:etiology* / Q000517:prevention & control; D013016:Sound; D013315:Stress, Psychological / Q000209:etiology / Q000517:prevention & control