LAUSR

Abstract Background: There is no high-quality meta-analysis in the literature to determine the noise level in the operating room. Therefore, the aim of this study is to systematically review the available evidence in the literature to elucidate the impact of operating room noise levels on stress and work efficiency of the operating room team. Methods: Two individual researchers will conduct the platform searches on the PubMed, Cochrane Library, and Embase databases from inception to June 1, 2022. The cohort studies assessing the impact of operating room noise levels on stress and work efficiency of the operating room team will be included. The outcomes include total workload level, stress scores, anxiety scores, operation time. We will collect data according to the guidelines in the Cochrane Handbook for Systematic Reviews of Interventions. The Meta analysis will be performed using Review Manager version 5.3 provided by the Cochrane Collaboration. Risk bias analysis of the studies will be performed independently by two reviewers using the Cochrane Risk of Bias Assessment Tool. Results: The review will add to the existing literature by showing compelling evidence and improved guidance in clinic settings. Registration number: 10.17605/OSF.IO/7N8RY.