The effect of environmental noise isolation on bronchiolitis severity in hospitalised children

Noa Ziv, Michal Zagon-Rogel, Yehezkel Waisman, Eran Rom, Joseph Attias, Irit Krause

Research output: Contribution to journalArticlepeer-review


Aim: Bronchiolitis is an infectious disease, with no effective treatment. Music and Mozart's works specifically are known to have a positive effect on physiological parameters, while noise is considered harmful. We aim to evaluate the short-term effect of environmental noise detachment and/or music listening on the course of bronchiolitis in hospitalised children. Methods: This is a prospective, double-blinded randomised controlled trial. Patients were divided into three intervention groups: 1-Mozart's Sonata, 2-instrumental music, 3-silence. Music was heard via media players and soundproof headphones. Disease severity was evaluated before and after intervention using the Modified Tal score. Results: Seventy music sessions were included in the analysis (Mozart n = 23, instrumental n = 22, silence n = 25). A one-point drop in the average bronchiolitis severity score was observed in all three groups from 7.1 (CI 95%, 5 to 9.2) to 6.1 (CI 95%, 4.3 to 7.9), p < 0.001. No significant difference was found between the three groups with respect to change in the severity score before and after the intervention. Conclusion: Isolation from disturbing sounds heard in paediatric departments could be considered a simple non-invasive intervention in children hospitalised with bronchiolitis. Further studies are warranted to evaluate long-term effects of this intervention and the specific effect of music.

Original languageEnglish
Pages (from-to)1795-1800
Number of pages6
JournalActa Paediatrica, International Journal of Paediatrics
Issue number9
StatePublished - Sep 2022

Bibliographical note

Funding Information:
MP3 players were donated by the SunDisk Corporation. This study was funded by the “Oriki Levi Scholarship”. The funders had no role in the design and conduct of the study, collection, management, analysis and interpretation of the data, preparation, review or approval of the manuscript and decision to submit the manuscript for publication

Publisher Copyright:
© 2022 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd.


  • bronchiolitis
  • children
  • infectious disease
  • Mozart
  • Prospective Studies
  • Bronchiolitis/therapy
  • Child, Hospitalized
  • Humans
  • Music
  • Acoustic Stimulation/methods
  • Child

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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