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Study of the energy intensity by built areas in a medium-sized Spanish hospital

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Abstract

Assessing energy use in healthcare buildings requires identifying consumption profiles regularly. Keeping this in mind, this paper studies the energy intensity of a hospital and sets specific energy performance indicators by healthcare area. The authors analysed a hospital located in the province of Madrid (Spain), equipped with 182 beds and an area of usage of 25,177 m2. The heating, ventilation and air-conditioning system (HVAC) and steam production equipment (63.0%) and medical equipment (18.8%)—which includes electromedicine (11.6%), radiology (4.2%), radiotherapy (0.7%) and nuclear medicine (2.4%)—accounted for 81.8% of the energy consumed. Throughout the analysis, the authors found that operating theatres and intensive care units demanded more than 1000 kWh/m2 per year, while catering and nuclear medicine required between 500 and 1000 kWh/m2 per year and radiology between 350 and 500 kWh/m2, and most of the other units did not exceed 250 kWh/m2. The wide variability of these results shows that each area’s energy consumption should be studied separately for an appropriate energy management. These indicators are useful for benchmarking between hospitals, thus prioritising energetically efficient investments.

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References

  • AENOR. UNE EN 779. (2012). Particulate air filters for general ventilation; requirements, testing, marking. Madrid.

  • AENOR. UNE EN ISO 50001. (2018). Energy management systems. Requirements with guidance for use. Madrid.

  • Ahmad, M. W., Mourshed, M., Mundow, D., Sisinni, M., & Rezgui, Y. (2016). Building energy metering and environmental monitoring – A state-of-the-art review and directions for future research. Energy and Buildings, 120, 85–102.

    Article  Google Scholar 

  • Alajmi, A. (2012). Energy audit of an educational building in a hot summer climate. Energy and Buildings, 47, 122–130.

    Article  Google Scholar 

  • Al horr, Y., Arif, M., Katafygiotou, M., Mazroei, A., Kaushik, A., & Elsarrag, E. (2016). Impact of indoor environmental quality on occupant well-being and comfort: A review of the literature. International Journal of Sustainable Built Environment, 5, 1–11.

    Article  Google Scholar 

  • Annunziata, E., Rizzi, F., & Frey, M. (2014). Enhancing energy efficiency in public buildings: The role of local energy audit programmes. Energy Policy, 69, 364–373.

    Article  Google Scholar 

  • Bakaimis, B., & Papanikolaou, I. (2017). Electrical energy saving policies, initiatives, results, challenges and lessons learned for the Grevena Hospital. Procedia Environmental Sciences, 38, 882–889.

    Article  Google Scholar 

  • Balali, A., & Valipour, A. (2020). Prioritization of passive measures for energy optimization designing of sustainable hospitals and health centres. Journal of Building Engineering, 2020, 101992.

    Google Scholar 

  • Bawaneh, K., Nezami, F. G., Rasheduzzaman, M., & Deken, B. (2019). Energy consumption analysis and characterization of healthcare facilities in the United States. Energies, 12, 3775.

    Article  Google Scholar 

  • BizEE Software (2020). https://www.degreedays.net. [].

  • Caesar, T. (2008). Air filter classification in the light of rising energy costs. Germany: Freudenberg Filtration Technologies KG.

    Google Scholar 

  • Cesari, S., Valdiserri, P., Coccagna, M., & Mazzacane, S. (2018). Energy savings in hospital patient rooms: the role of windows size and glazing properties. Energy Procedia, 148, 1151–1158.

    Article  Google Scholar 

  • Christiansen, N., Kaltschmitt, M., & Dzukowski, F. (2016). Electrical energy consumption and utilization time analysis of hospital departments and large-scale medical equipment. Energy and Buildings, 131, 172–183.

    Article  Google Scholar 

  • Christiansen, N., Kaltschmitt, M., Dzukowski, F., & Isensee, F. (2015). Electricity consumption of medical plug loads in hospital laboratories: Identification, evaluation, prediction and verification. Energy and Buildings, 107, 392–406.

    Article  Google Scholar 

  • Coccagna, M., Cesari, S., Valdiserri, P., Romio, P., & Mazzacane, S. (2018). Impact of morphological and functional features on hospitals' energy consumption: A comparative analysis of six case studies. WSEAS Trans, Environ. Dev, 14, 212–225.

    Google Scholar 

  • Dainese, E., Walker, S., Maassen, W., & Zeiler, W. (2019). Towards zero energy hospital buildings: a polyclinic building as case study. E3S Web of Conferences, 111.

  • Derksa, M. T. H., Mishraa, A. K., Loomansa, M. G. L. C., & Korta, H. S. M. (2018). Understanding thermal comfort perception of nurses in a hospital ward work environment. Building and Environment, 140, 119–127.

    Article  Google Scholar 

  • Esmaeili, A., Twomey, J. M., Overcash, M. R., Soltani, S. A., McGuire, C., & Ali, K. (2015). Scope for energy improvement for hospital imaging services in the USA. Journal of Health Services Research & Policy, 20, 67–73.

    Article  Google Scholar 

  • García-Sanz-Calcedo, J., Gómez-Chaparro, M., & Sanchez-Barroso, G. (2019). Electrical and thermal energy in private hospitals: Consumption indicators focused on healthcare activity. Sustainable Cities and Society, 47, 101482.

    Article  Google Scholar 

  • García-Sanz-Calcedo, J., López-Rodriguez, F., Yusaf, T., & Al-Kassir, A. (2018). Analysis of the average annual consumption of water in hospitals of Extremadura (Spain). Energies, 10(4), 1–10.

    Google Scholar 

  • Gómez-Chaparro, M., García-Sanz-Calcedo, J., & Aunión-Villa, J. (2020). Maintenance in hospitals with less than 200 beds: Efficiency indicators. Building Research and Information, 48(5), 526–537.

    Article  Google Scholar 

  • González, A. G., García-Sanz-Calcedo, J., & Rodríguez, D. S. (2018). Evaluation of energy consumption in German hospitals: Benchmarking in the public sector. Energies, 11(9), 2279.

    Article  Google Scholar 

  • González Gil, A., López-González, J. L., Fernández, M., Eguía, P., Erkoreka, A., & Granada, E. (2018). Thermal energy demand and potential energy savings in a Spanish surgical suite through calibrated simulations. Energy and Buildings, 174, 513–526.

    Article  Google Scholar 

  • Hu, S. C., Chen, J. D., & Chuah, Y. K. (2004). Energy cost and consumption in a large acute hospital. International Journal on Architectural Science, 5(1), 11–19.

    Google Scholar 

  • Jakka, S., & Rossbach, M. (2013). An economic perspective on personalized medicine. The HUGO Journal, 7(1), 1–6.

    Article  Google Scholar 

  • Khalid, W., Zaki, S. A., Rijal, H. B., & Yakub, F. (2019). Investigation of comfort temperature and thermal adaptation for patients and visitors in Malaysian hospitals. Energy and Buildings, 183, 489–499.

    Article  Google Scholar 

  • Khodakarami, J., & Nasrollahi, N. (2012). Thermal comfort in hospitals—A literature review. Renewable and Sustainable Energy Reviews, 16, 4071–4077.

    Article  Google Scholar 

  • Krarti, M. (2020). Energy audit of building systems: An engineering approach. Hoboken: CRC Press.

    Book  Google Scholar 

  • Lee, D., & Cheng, C. (2016). Energy savings by energy management systems: A review. Renewable and Sustainable Energy Reviews, 56, 760–777.

    Article  Google Scholar 

  • Mínguez-Gómez, C. D. (2017). Energy consumption in Spanish hospitals and example of Geothermal. Proceedings of XXXV Congreso Nacional de Ingeniería Hospitalaria. Spain: Las Palmas.

    Google Scholar 

  • Moghimi, S., Azizpour, F., Mat, S., Lim, C. H., Salleh, E., & Sopian, K. (2014). Building energy index and end-use energy analysis in large-scale hospitals—Case study in Malaysia. Energy Efficiency, 7, 243–256.

    Article  Google Scholar 

  • Morgenstern, P., Li, M., Raslan, R., Ruyssevelt, P., & Wright, A. (2016). Benchmarking acute hospitals: Composite electricity targets based on departmental consumption intensities? Energy and Buildings, 118, 277–290.

    Article  Google Scholar 

  • Morgenstern, P., Raslan, R., & Huebner, G. (2016). Applicability, potential and limitations of staff-centred energy conservation initiatives in English hospitals. Energy Efficiency, 9, 27–48.

    Article  Google Scholar 

  • Nematchoua, M. K., Yvon, A., Kalameu, O., Asadi, S., Choudhary, R., & Reiter, S. (2018). Impact of climate change on demands for heating and cooling energy in hospitals: An in-depth case study of six islands located in the Indian Ocean region. Sustainable Cities and Society, 44, 44.

    Google Scholar 

  • Papadopoulos, A. M. (2016). Energy efficiency in hospitals: Historical development, trends and perspectives. In Energy Performance of Buildings (pp. 217–233). Cham: Springer.

    Chapter  Google Scholar 

  • Pastor-Pérez, P. (2019). Documentos técnicos de instalaciones en la edificación: Sistemas de filtración y purificación de aire. Madrid (Spain): Atecyr.

    Google Scholar 

  • Rohde, T., & Martinez, R. (2015). Equipment and energy usage in a large teaching hospital in Norway. Journal of Healthcare Engineering, 6(3), 419–434.

    Article  Google Scholar 

  • Sanchez-Barroso, G., & García-Sanz-Calcedo, J. (2019). Evaluation of HVAC design parameters in high-performance hospital operating theatres. Sustainability, 11, 1493.

    Article  Google Scholar 

  • San-José, J. F., Guijarro, A., Castro, F., & Villafreula, J. M. (2009). Indicadores de energía térmica en los hospitales de Castilla y León. Todo Hospital, 641–648.

  • Santamouris, M., Dascalaki, E., Balaras, C., Argiriou, A., & Gaglia, A. (1994). Energy performance and energy conservation in health care buildings in Hellas. Energy Conservation and Management, 35(4), 293–305.

    Article  Google Scholar 

  • Shaikh, P. H., Nor, N. B. M., Nallagownden, P., & Elamvazuthi, I. (2018). Intelligent multi-objective optimization for building energy and comfort management. Journal of King Saud University-Engineering Sciences, 30(2), 195–204.

    Article  Google Scholar 

  • Shen, C., Zhao, K., Ge, J., & Zhou, Q. (2019). Analysis of building energy consumption in a hospital in the hot summer and cold winter area. Energy Procedia, 158, 3735–3740.

    Article  Google Scholar 

  • Silvestro, F., Bagnasco, A., Lanza, I., Massucco, S., & Vinci, A. (2017). Energy efficient policy and real time energy monitoring in a large hospital facility: A case study. International Journal of heat and technology, 35 no S1, S221-S227

  • Spanish Ministry of Agriculture. (2018). Emission factors. Carbon footprint registration, offsetting and carbon dioxide absorption projects. Madrid: Spanish Ministry of Agriculture.

    Google Scholar 

  • Spanish Ministry of Health, Social Services and Equality. (2018). National hospital catalogue. Madrid: Spanish Ministry of Health, Social Services and Equality.

    Google Scholar 

  • Teke, A., & Timur, O. (2014). Assessing the energy efficiency improvement potentials of HVAC systems considering economic and environmental aspects at the hospitals. Renewable and Sustainable Energy Reviews, 33, 224–235.

    Article  Google Scholar 

  • Thinate, N., Wongsapai, W., & Damrongsak, D. (2017). Energy performance study in Thailand hospital building. Energy Procedia, 141, 255–259.

    Article  Google Scholar 

  • Yilmazoglu, M. Z. (2017). Decreasing energy consumption and carbon footprint in a school building: a comparative study on energy audits. International Journal of Global Warming, 13(2), 237–257.

    Article  Google Scholar 

  • Zazzini, P., Montelpare, S., & Basti, A. (2018). Climate dependence of energy saving strategies in public buildings characterized by change of use: An original case study. Energy Efficiency, 11, 499–519.

    Article  Google Scholar 

  • Zuhaib, S., & Goggins, J. (2019). Assessing evidence-based single-step and staged deep retrofit towards nearly zero-energy buildings (nZEB) using multi-objective optimisation. Energy Efficiency, 12, 1891–1920.

    Article  Google Scholar 

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Funding

The authors wish to acknowledge to European Regional Development Fund for the financial support provided through Research Projects GR18029 linked to the VI Regional Plan for Research, Technical Development and Innovation from the Regional Government of Extremadura (2017-2020).

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Authors and Affiliations

  1. University CEU San Pablo, Madrid, Spain

    Juan Aunión-Villa

  2. HM Hospitals. Healthcare Engineering, Madrid, Spain

    Miguel Gómez-Chaparro

  3. University of Extremadura, Avda. Elvas s/n, 06007, Badajoz, Spain

    Justo García-Sanz-Calcedo

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  1. Juan Aunión-Villa
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  2. Miguel Gómez-Chaparro
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  3. Justo García-Sanz-Calcedo
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Correspondence to Justo García-Sanz-Calcedo.

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Aunión-Villa, J., Gómez-Chaparro, M. & García-Sanz-Calcedo, J. Study of the energy intensity by built areas in a medium-sized Spanish hospital. Energy Efficiency 14, 26 (2021). https://doi.org/10.1007/s12053-021-09944-1

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