Occupational noise in hospital laundries, boilers, and central power plants: a bibliometric analysis
Keywords:
ruido ocupacional, lavanderías hospitalarias, calderas de vapor, hipoacusia ocupacional, salud laboral, occupational noise, hospital laundry, steam boilers, occupational hearing loss, labor healthAbstract
Introduction: Noise in industrial areas within the hospital environment represents an occupational risk for workers.
Objective: To conduct a bibliometric analysis of publications on noise exposure in hospital laundries, boiler rooms, and central utility plants.
Methods: A total of 31 articles published between 2015 and 2025 were consolidated, synthesizing source, year, and authors; descriptive tables and figures were developed.
Results: The sample included 31 studies, with a peak of publications in 2023 (n=9). The most frequent sources were SAGE Journals, PMC, BJAS, and Audiology & Speech Research. Typical sound pressure levels in laundries ranged from LAeq 74–85 dBA; in boiler rooms/CUP, technical reports indicated continuous high noise exposure.
Conclusions: Occupational noise in hospital industrial areas (laundries and boiler/utility plants) is a significant risk with growing scientific evidence between 2015 and 2025. However, gaps remain in direct measurements in boiler rooms and in longitudinal studies.
Downloads
References
1.de Lima Andrade E, da Cunha e Silva DC, de Lima, EA. Angrizani R, Trombetta PH, Germano AC. Environmental noise in hospitals: a systematic review. Environ Sci Pollut Res. 2021;28:19629–42. DOI: https://doi.org/10.1007/s11356-021-13211-2
2.El-Sayed A. Evaluation of Hospital Laundry Occupational Hazards. Benha Journal of Applied Sciences. 2023 [acceso 26/12/2025];8(2):45-55. Disponible en: https://bjas.journals.ekb.eg/article_289066_9b0f9beaa061babbf9185388fdefa51a.pdf
3.WHO. Environmental noise guidelines for the European Region. 2018 [acceso 20/12/2025]. Disponible en: https://www.who.int/europe/publications/i/item/9789289053563
4.NIOSH. Criteria for a recommended standard: Occupational noise exposure. U.S. Department of Health and Human Services. 1998 [acceso 20/12/2025]. Disponible en: https://www.cdc.gov/niosh/docs/98-126/default.html
5.Panumasvivat J, Sapbamrer R, Wongcharoen A. Protecting Hearing Health: High-Frequency Hearing Loss Among Hospital Workers in Laundry and Nutrition Departments. Workplace Health & Safety. 2025;73(11):552-61. DOI: https://doi.org/10.1177/21650799251348478
6.Hisam A, Marwanis S. Noise exposure and hearing symptoms among laundry workers and mechanical cutters in a teaching hospital. Journal of Occupational Health and Safety. 2018 [acceso 20/12/2025];15(1):35-42. Disponible en: http://www.niosh.com.my/images/Journal/2018/Article/2018-JOSHFULL-ARTICLE-4---JUNE-2018-39-46.pdf
7.de Lira CRN, Akutsu RC, Costa PRF, Leite LO, da Silva KBB, Botelho RBA, Raposo A, Han H, Ariza-Montes A, Araya-Castillo L, Zandonadi RP. Occupational Risks in Hospitals, Quality of Life, and Quality of Work Life: A Systematic Review. Int J Environ Res Public Health. 2021 Oct 30;18(21):e11434. DOI: https://doi.org/10.3390/ijerph182111434
8.Sonoda N, Furuki H, Morimoto A. Impact of Environmental Noise on Inpatient Outcomes: A Scoping Review. Worldviews Evid Based Nurs. 2025 Aug;22(4):e70056. DOI: https://doi.org/10.1111/wvn.70056
9.Sekhon NK, Masterson EA, Themann CL. Prevalence of hearing loss among noise-exposed workers within the services sector, 2006-2015. Int J Audiol. 2020 Dec;59(12):948-61. DOI: https://doi.org/10.1080/14992027.2020.1780485
10.Vreman J, Lemson J, Lanting C, van der HoTM. The effectiveness of interventions to reduce sound in ICU: A systematic review. Critical Care Explo. 2023 Mar 27;5(4):e0885. DOI: https://doi.org/10.1097/CCE.0000000000000885
11.Tang M, Liu L, Cai J, Yang Y. Effect of Noise in the Emergency Department on Occupational Burnout and Resignation Intention of Medical Staff. Noise & Health. 2024 Apr-Jun 01;26(121):102-6. DOI: https://doi.org/10.4103/nah.nah_127_23
12.Xiang B, Xue L, Zhang Y. Effect of Noise in the Waiting Area on Negative Emotions of Patients Undergoing Gastrointestinal Endoscopy. Noise & Health. 2025 Mar-Apr 01;27(125):123-7. DOI: https://doi.org/10.4103/nah.nah_183_24
13.Tahvili A, Waite A, Hampton T, Welters I, Lee PJ. Noise and sound in the intensive care unit: a cohort study. Sci Rep. 2025 Mar 29;15(1):e10858. DOI: https://doi.org/10.1038/s41598-025-94365-8
14.Yu J, Xu D, Zhou L. Effect of Night-Time Noise Control Combined with Detailed Nursing on Negative Emotions and Sleep Quality in Patients with Upper Gastrointestinal Bleeding. Noise & Health. 2025 Mar-Apr 01;27(125):194-200. DOI: https://doi.org/10.4103/nah.nah_125_24
15.Song Z, Lee PJ, Hampton T. Acoustic environments of intensive care units during the COVID-19 pandemic. Appl Acoust. 2022 Oct;199:e109037. DOI: https://doi.org/10.1016/j.apacoust.2022.109037
16.Xue Y, Lu B, He Y, Lu M. Evaluation on the Effect of Ward-Noise Reduction Management Combined with Monitoring-Training-Planning Management Mode in Hospitalized Patients with Heart Failure. Noise & Health. 2024 Jan-Mar 01;26(120):30-6. DOI: https://doi.org/10.4103/nah.nah_80_23
17.Imbriaco G, Gazzato A, Monesi A, Scquizzato T, Semeraro F. Evaluation of noise levels in COVID-19 and non-COVID-19 intensive care units in Italy. Intensive Crit Care Nurs. 2022 Feb;68:e103167. DOI: https://doi.org/10.1016/j.iccn.2021.103167
18.Shi Z, Zhou J, Huang Y, Hu Y, Zhou L, Shao Y, Zhang M. Occupational Hearing Loss Associated With Non-Gaussian Noise: A Systematic Review and Meta-analysis. Ear Hear. 2021 Nov-Dec 01;42(6):1472-84. DOI: https://doi.org/10.1097/AUD.0000000000001060
19.Chen CY. Monitoreo de niveles de ruido cambiantes de tiempo y ruido percibido en los vestíbulos hospitalarios. Building Acoustics. 2021;28(1):35-55. DOI: https://doi.org/10.1177/1351010X20919868
20.Hummel K, Ryherd E, Cheng X, Lowndes B. Relating clustered noise data to hospital patient satisfaction. J Acoust Soc Am. 2023 Aug 1;154(2):1239-47. DOI: https://doi.org/10.1121/10.0020760
21.Imbriaco G, Capitano M, Rocchi M, Suhan A, Tacci A, Monesi A, Sebastiani S, Samolsky Dekel BG. Relationship between noise levels and intensive care patients' clinical complexity: An observational simulation study. Nurs Crit Care. 2024 May;29(3):555-63. DOI: https://doi.org/10.1111/nicc.12934
22.Adams C, Walsan R, McDonnell R, Schembri A. As loud as a construction site: Noise levels in the emergency department. Australas Emerg Care. 2024 Mar;27(1):26-9. DOI: https://doi.org/10.1016/j.auec.2023.07.004
23.Armbruster C, Walzer S, Witek S. Ziegler S, Farin-Glatacker E, Noise exposure among staff in intensive care units and the effects of unit-based noise management: a monocentric prospective longitudinal study. BMC Nurs. 2023;22(1):e460. DOI: https://doi.org/10.1186/s12912-023-01611-3
24.Li X, Li J, Xu Z, Shang Y, Shi H. Effects of Operating Room Noise on Patient Outcomes and Medical Staff: A Systematic Review. Noise & Health. 2025 May-Jun 01;27(126):246-54. DOI: https://doi,org/10.4103/nah.nah_175_24
25.Wang WI, Zhou SP, Lieng Y, Ma CJ, Wang XC. Psychological Effects of Noise Exposure on Personnel in Central Sterile Supply Department in China. Psychology research and behavior management. 2024;11(17):4221-35. DOI: https://doi.org/10.2147/PRBM.S473194
26.Ileperuma D, Arachchige IR. Hearing Status and Noise Exposure Levels of Workers at a Laundry Plant (Sri Lanka). Audiology & Speech Research. 2022;18(2):95-101. DOI: https://doi.org/10.21848/asr.220004
27.idjanarti MP, Wardanis AFK. Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis. Journal of Epidemiology and Public Health. 2025;10(3):384-98. DOI: https://doi.org/10.26911/jepublichealth.2025.10.03.09
28.Pleban D, Radosz J, Kryst L, Surgiewicz J. Assessment of working conditions in medical facilities due to noise. International Journal of Occupational Safety and Ergonomics. 2021;27(4):1199–206. DOI: https://doi.org/10.1080/10803548.2021.1987692
29.Hampton T, Everett S, Goldsmith E, Lee PJ, A challenge to the evidence behind noise guidelines for UK hospitals, Occupational Medicine, November 2023;73(8):507–11, DOI: https://doi.org/10.1093/occmed/kqad109
30.Abd El-Wahed SMH, Salwa AA, Heba Mohamed, Hanaa KF. Occupational Hazards among Hospital Laundry Workers at Ismailia City, Egypt. American Journal of Nursing Research. 2020;8(4):471-6. DOI: https://doi.org/10.12691/ajnr-8-4-7
31.Lie A, Skogstad M, Johannessen HA, Tynes T, Mehlum IS, Nordby KC, Engdahl B, Tambs K. Occupational noise exposure and hearing: a systematic review. Int Arch Occup Environ Health. 2016 Apr;89(3):351-72. DOI: https://doi.org/10.1007/s00420-015-1083-5
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Maria Virginia Garcia Almendarez, Richard David Arana Blas, Karina Saraí Colomer Sánchez, Sergio Ramón Gutiérrez Úbeda

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0) Esta licencia permite a otros compartir el trabajo con un reconocimiento de la autoría del trabajo y la publicación inicial en esta revista (componente BY o atribución). Coincidente con la política de Acceso Abierto, no se podrán hacer usos comerciales de los contenidos publicados por esta revista (componente NC). Se permitirán las obras derivadas (remezcla, transformación o creación a partir de la obra original), siempre y cuando sean distribuidas bajo la misma licencia de la obra original (componente SA).
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).

