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CTRI Number  CTRI/2025/12/098497 [Registered on: 04/12/2025] Trial Registered Prospectively
Last Modified On: 25/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Effect of Operation Room Noise on Patient Stress and Comfort 
Scientific Title of Study   Impact of Intraoperative Noise and Patient Sensitivity on Stress and Satisfaction During Regional Anesthesia: A Prospective Observational Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jasmine Abika  
Designation  Pg Scholar 
Affiliation  SRM Institute of Science and Technology 
Address  Room No:D4-23,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar,Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.

Chennai
TAMIL NADU
603203
India 
Phone  6379601423  
Fax    
Email  jasmineabikafotat@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Karthika Urkavalan 
Designation  Assistant Professor 
Affiliation  SRM Institute of Science And Technology 
Address  Room No:D4-27,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar,Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.

Chennai
TAMIL NADU
603203
India 
Phone  9894234694  
Fax    
Email  Karthiku1@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Karthika Urkavalan 
Designation  Assistant Professor 
Affiliation  SRM Institute of Science And Technology 
Address  Room No:D4-27,4th floor, D block Extension, Department of Anesthesia, SRM medical college, SRM Nagar,Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu -603203 India.

Chennai
TAMIL NADU
603203
India 
Phone  9894234694  
Fax    
Email  Karthiku1@srmist.edu.in  
 
Source of Monetary or Material Support  
SRM Institute of Science And Technology 
 
Primary Sponsor  
Name  SRM Institute of Science And Technology 
Address  SRM medical college Hospital and Research Centre, SRM Nagar Potheri, Kattankulathur Chengalpattu Tamil Nadu -603203 India. 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr karthika Urkavalan  SRM Medical College Hospital  Room No:D4 23,4th floor, D block Extension, Department of Anesthesia SRM medical college, SRM Nagar Potheri, Kattankulathur, Chengalpattu district, Tamil Nadu 603203 India
Chennai
TAMIL NADU 
9894234694

Karthiku1@srmist.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M151||Heberdens nodes (with arthropathy),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Modified Weinstein Noise Sensitivity Questionnaire   A validated questionnaire used to measure each patient’s general sensitivity to everyday sounds. It helps identify whether a patient is more likely to be disturbed by noise before surgery.  
Intervention  NIL  NIL 
Comparator Agent  Noise Satisfaction and Annoyance Questionnaire  A postoperative questionnaire that evaluates the patient’s satisfaction with the noise level during surgery and assesses how annoyed or disturbed they felt by the sounds in the operating room. 
Comparator Agent  Noise-Related Stress Questionnaire  A brief questionnaire completed after surgery to measure the amount of stress the patient experienced due to intraoperative noise. It helps quantify the emotional impact of the operating room sound environment. 
Comparator Agent  smartphone - decibel x meter app  A calibrated smartphone sound-level meter application used to measure intraoperative noise. It records minimum, maximum, and average noise levels (in decibels) at regular time intervals during surgery.  
Comparator Agent  State-Trait Anxiety Inventory – State Short Form (STAI-6)  A short 6-item scale used to assess the patient’s immediate anxiety level after surgery. It measures how anxious the patient felt during and right after the procedure. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Age 18 to 65 years
2.Elective orthopedic surgeries under regional anesthesia
3.ASA I to II
4.Conscious and communicative during procedure
5.Provides informed written consent
6.Willing to complete pre operative and post operative questionnaires
 
 
ExclusionCriteria 
Details  1.Surgery under general anesthesia or sedation
2.Hearing impairment or hearing aid use
3.Psychiatric illness affecting stress perception
4.Anxiolytic or sedative use within 24 hours
5.Cognitive or communication impairment
6.Emergency or revision surgeries
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The study is expected to show a significant link between higher noise levels during surgery and increased stress in awake patients. Additionally, patients who are more sensitive to noise may report lower satisfaction with their surgical experience. These findings could support efforts to improve the acoustic environment in operating rooms, enhancing patient comfort during regional anesthesia.
 
Patients noise sensitivity will be checked before surgery. Noise levels will be noted during surgery every 30 minutes. After surgery, patients will be asked a few simple questions about their stress, anxiety, and satisfaction. 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [jasmineabikafotat@gmail.com].

  6. For how long will this data be available start date provided 01-10-2026 and end date provided 01-10-2030?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary  

This prospective observational study evaluates how intraoperative noise and individual noise sensitivity affect stress and satisfaction in orthopedic patients undergoing regional anesthesia. Baseline demographics, vitals, and noise sensitivity are recorded preoperatively using the Modified Weinstein Questionnaire. During surgery, the noise in the operating room will be measured using a smartphone sound meter. The app will check how loud the sound is at different times and record the lowest, highest, and average noise levels every 30 minutesImmediately after surgery, patients  is assessed for  anxiety using the STAI (State- Trait Axiety Inventory)-6 and Noise Satisfaction and Annoyance Questionnaire . Postoperatively, patients complete a Noise-Related Stress Questionnaire and a Visual Analog Scale. All data are collected in a standardized case report form. The study aims to identify associations between noise sensitivity, actual noise exposure, intraoperative stress, and overall patient satisfaction.

 
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