The Impact of Facial Personal Protective Equipment on Speech Intensity.


Journal

Urogynecology (Philadelphia, Pa.)
ISSN: 2771-1897
Titre abrégé: Urogynecology (Phila)
Pays: United States
ID NLM: 9918452588006676

Informations de publication

Date de publication:
01 04 2023
Historique:
medline: 12 9 2023
pubmed: 3 2 2023
entrez: 2 2 2023
Statut: ppublish

Résumé

Facial personal protective equipment (FPPE) filters small particles in the operating room (OR) but also affects speech production, diminishing the effective transfer of information among OR team members. The aim of the study is to assess the attenuating effects of different combinations of layered FPPE on speech intensity, including potential differences in the effect of talkers with varying backgrounds and speaking volumes. We recruited 30 speakers from health and nonhealth occupations with English as either their first or second language. All participants spoke unmasked, at varying voice levels into a portable Zoom H4n device 12 inches from the microphone. These no-mask recordings were played from a Styrofoam head, fitted with 7 combinations of FPPE commonly worn in the COVID-19 era, with the attenuated signals assessed for digital average signal levels. We submitted these attenuation values to an omnibus mixed analysis of variance and performed a spectral analysis on signal attenuation stratified by typical speech frequency bands. Signal attenuation was strongly determined by FPPE combination, regardless of talker sex, first language, and occupation ( P < 0.01, η 2p = 0.881). The effects of vocal output were also significant ( P < 0.01, η 2p = 0.881). Soft talkers experienced particularly high attenuation at frequency bands higher than 2,000 Hz. The signal of the softest talkers, when asked to speak loudly, was similar to the loud talkers' signal. Layered FPPE in the OR protects the surgical team from small particle exposure but may increase communication failures. Our data can help OR staff choose FPPE and alter their vocal volume accordingly.

Identifiants

pubmed: 36730870
doi: 10.1097/SPV.0000000000001282
pii: 02273501-990000000-00044
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

422-429

Informations de copyright

Copyright © 2022 American Urogynecologic Society. All rights reserved.

Déclaration de conflit d'intérêts

The authors have declared they have no conflicts of interest.

Références

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Auteurs

Tara Krishnan (T)

From the Female Pelvic Medicine and Reconstructive Surgery, University of Missouri Kansas City School of Medicine.

Paul Rudy (P)

University of Missouri Kansas City Conservatory, Kansas City, MO.

Navin Viswanathan (N)

The Pennsylvania State University, PA 16802.

Margaret Brommelsiek (M)

From the Female Pelvic Medicine and Reconstructive Surgery, University of Missouri Kansas City School of Medicine.

Austin Bachar (A)

From the Female Pelvic Medicine and Reconstructive Surgery, University of Missouri Kansas City School of Medicine.

Gary Sutkin (G)

From the Female Pelvic Medicine and Reconstructive Surgery, University of Missouri Kansas City School of Medicine.

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