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Cited by 163Noise Effects and ManagementSleep and related disordersIntensive Care Unit Cognitive Disorders

The DOI matches its Crossref record, with a small difference in title or year; 52 of the 52 references it cites were found in a registry or an index.

Sleep Disruption due to Hospital Noises: A Prospective Evaluation

Buxton, Orfeu M., Ellenbogen, Jeffrey M., Wang, Wei, Carballeira, Andy, O'Connor, Shawn, Cooper, Dan, Gordhandas, Ankit J., McKinney, Scott M., Solet, Jo M.·2012·Annals of Internal Medicine
DOI 10.7326/0003-4819-156-12-201208070-00472
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Abstract

BACKGROUND: Sleep plays a critical role in maintaining health and well-being; however, patients who are hospitalized are frequently exposed to noise that can disrupt sleep. Efforts to attenuate hospital noise have been limited by incomplete information on the interaction between sounds and sleep physiology. OBJECTIVE: To determine profiles of acoustic disruption of sleep by examining the cortical (encephalographic) arousal responses during sleep to typical hospital noises by sound level and type and sleep stage. DESIGN: 3-day polysomnographic study. SETTING: Sound-attenuated sleep laboratory. PARTICIPANTS: Volunteer sample of 12 healthy participants. INTERVENTION: Baseline (sham) night followed by 2 intervention nights with controlled presentation of 14 sounds that are common in hospitals (for example, voice, intravenous alarm, phone, ice machine, outside traffic, and helicopter). The sounds were administered at calibrated, increasing decibel levels (40 to 70 dBA [decibels, adjusted for the range of normal hearing]) during specific sleep stages. MEASUREMENTS: Encephalographic arousals, by using established criteria, during rapid eye movement (REM) sleep and non-REM (NREM) sleep stages 2 and 3. RESULTS: Sound presentations yielded arousal response curves that varied because of sound level and type and sleep stage. Electronic sounds were more arousing than other sounds, including human voices, and there were large differences in responses by sound type. As expected, sounds in NREM stage 3 were less likely to cause arousals than sounds in NREM stage 2; unexpectedly, the probability of arousal to sounds presented in REM sleep varied less by sound type than when presented in NREM sleep and caused a greater and more sustained elevation of instantaneous heart rate. LIMITATIONS: The study included only 12 participants. Results for these healthy persons may underestimate the effects of noise on sleep in patients who are hospitalized. CONCLUSION: Sounds during sleep influence both cortical brain activity and cardiovascular function. This study systematically quantifies the disruptive capacity of a range of hospital sounds on sleep, providing evidence that is essential to improving the acoustic environments of new and existing health care facilities to enable the highest quality of care. PRIMARY FUNDING SOURCE: Academy of Architecture for Health, Facilities Guidelines Institute, and The Center for Health Design.

Overview

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Crossref · 10.7326/0003-4819-156-12-201208070-00472

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Citations

Cites

Research works printed but not linked: 2

  1. Carpenter D, 2010, Health Facil Manage, 23, 11
  2. Witmans M, 2005, J Clin Sleep Med, 1, 488

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Metadata

Authors
Buxton, O. M., Ellenbogen, J. M., Wang, W., Carballeira, A., O'Connor, S., Cooper, D., Gordhandas, A. J., McKinney, S. M., & Solet, J. M.
Affiliations
Cambridge Health Alliance (US)
ORCID
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
2012-08-07
Volume
157
Issue
3
Pages
170-179
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/0003-4819-156-12-201208070-00472
OpenAlex
W2077877322
Semantic Scholar
c903ca272f185793a13ef3e58f0b05309a3e213b
Cited by
163
References
52
Citations by year
2026: 6 · 2025: 6 · 2024: 8 · 2023: 14 · 2022: 11 · 2021: 13 · 2020: 9 · 2019: 14 · 2018: 14 · 2017: 19 · 2016: 12 · 2015: 13 · 2014: 11 · 2013: 13
FWCI
28.35
Type
journal article
Language
en
Open access
closed
Licence
www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations
  • Annals of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Physical Sciences › Physics and Astronomy › Acoustics and Ultrasonics › Noise Effects and Management
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
Keywords
hospital noise, sleep disruption, arousal, sleep stages, REM sleep, NREM sleep, sound level, sound types, heart rate, hospital acoustics
MeSH terms
Acoustic Stimulation, Electroencephalography, Female, Heart Rate, Hospitalization, Humans, Male, Noise, Prospective Studies, Sleep Stages, Wakefulness, Polysomnography, Young Adult

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