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  1. Environmental noise as a cause of sleep disruption in an intermediate respiratory care unit.

    Article - En anglais

    Our laboratory previously reported continuously monitored peak sound levels in several areas at Rhode Island Hospital.

    The number of sound peaks greater than 80 A-weighted decibels (dBA) was found to be high in the intensive and intermediate respiratory care unit (IRCU) areas, even at night.

    Environmental noise of this magnitude is potentially sleep-disruptive.

    Therefore, we hypothesized that nocturnal peak sound levels of H80 dBA would be associated with an increase in EEG arousals from sleep in patients in the IRCU.

    Six patients underwent sleep monitoring while environmental peak sound levels were continuously recorded.

    Each 8-hour period (2200 to 0600 hours) was broken down into 30-minute segments.

    If there were 10 minutes or more of wakefulness in a segment, that segment was dropped from further analysis.

    Of the remaining 61 segments, there was a very strong correlation (r=0.57, p=0.0001) between the number of sound peaks of =80 dBA and arousals from sleep.

    These 61 periods were then classified as quiet, moderately loud, and very loud based on the number of sound peaks (¾5,6-15, and>15, respectively).

    Analysis of variance revealed a significant difference between the number of arousals (p=0.001) in quiet periods and that in very loud periods.

    We conclude that environmental noise may be an important cause of sleep disruption in the IRCU.

    Mots-clés Pascal : Service hospitalier, Appareil respiratoire pathologie, Trouble sommeil, Bruit, Nuisance acoustique, Monitorage, Electroencéphalographie, Intensité son, Electrophysiologie, Facteur milieu, Homme

    Mots-clés Pascal anglais : Hospital ward, Respiratory disease, Sleep disorder, Noise, Noise pollution, Monitoring, Electroencephalography, Sound intensity, Electrophysiology, Environmental factor, Human

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    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0268474

    Code Inist : 002B30A04A. Création : 15/07/1997.