Assessment of environmental noise and its effect on neonates in a Neonatal Intensive Care Unit

A method for analyzing the influence of noise on newborns is proposed. The method consists of defining three different types of time interval (quiet, noisy and nursing) and, for each period, environmental noise levels, heart rate, mean arterial pressure and oxygen saturation is continuously measured. The statistical analysis of the influence of the equivalent noise level, rather than instantaneous noise level, on the behavior of the physiological variables is carried out. Great influence of noise is found by using this method, which is also easily translatable to other intensive care units as actual noise conditions are used in the investigation. Moreover, episodes of Bradycardia, Hypoxia and Hypertension are easily related to simultaneous direct nursing activity or a short but high enough noise event, suggesting that both sustained noisy environment and isolated peak noises lead to the alteration of the physiological variables. (C) 2016 Elsevier Ltd. All rights reserved.