Sleep and Circadian Rhythm in Critical Illness

Critical Care, Journal Year: 2019, Volume and Issue: 23(1)

Published: March 9, 2019

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2019. Other articles can be found online at https://www.biomedcentral.com/collections/annualupdate2019 . Further information about available http://www.springer.com/series/8901

Language: Английский

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Digital health interventions in adult intensive care and recovery after critical illness to promote survivorship care

Journal of the Intensive Care Society, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 4, 2025

Digital health refers to the field of using and developing technology improve outcomes. digital interventions (DHIs) within area intensive care critical illness survivorship are rapidly evolving. refer technologies in clinical interventional format. A DHI could support clinicians with increasing demands have improved oversight their patients’ recovery trajectory or potential for deterioration, efficiency healthcare delivery, and/or predict patient In this narrative review, DHIs explored across continuum from ICU (recognising managing identifying individuals at risk poor outcomes, tailoring supporting emotional needs family) through integration primary setting (adjuncts follow-up clinics tracking, coaching remote monitoring). Some discussed review (to name a few) include delivered via: Telehealth, artificial intelligence, wearable devices, virtual reality, mobile phone applications (apps). Additionally, exploration used successfully other fields highlight opportunities adaptation context. Finally, provides an overview considerations needed development new DHIs. Development should consider intended user, barriers engagement design. implementation DHI, World Health Organization (WHO) Global Strategy on appropriate evaluation be considered prior scaling up. Optimal help address key challenges field.

Language: Английский

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The Effect of a Quality Improvement Intervention on Sleep and Delirium in Critically Ill Patients in a Surgical ICU

CHEST Journal, Journal Year: 2021, Volume and Issue: 160(3), P. 899 - 908

Published: March 24, 2021

Language: Английский

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The Impact of Earplugs and Eye Masks on Sleep Quality in Surgical ICU Patients at Risk for Frequent Awakenings

Critical Care Medicine, Journal Year: 2021, Volume and Issue: 49(9), P. e822 - e832

Published: April 8, 2021

OBJECTIVES: Sleep disturbances may contribute to the development of delirium, prolonged ICU stay, and increased mortality. There is conflicting data on effectiveness earplugs eye masks for sleep promotion in ICU. This study evaluates impact quality postoperative surgical patients at risk frequent awakenings. DESIGN: Prospective randomized controlled trial. SETTING: Surgical within University Texas Southwestern Medical Center. PATIENTS: Adult, female admitted requiring hourly assessments following breast free flap surgery between February 2018 October 2019. INTERVENTIONS: Patients were into an intervention group or a control group. The received addition standard care, whereas care. MEASUREMENTS AND MAIN RESULTS: primary outcome was overall assessed via Richards-Campbell Questionnaire. Secondary outcomes patient satisfaction rates delirium with modified version Family Satisfaction survey Confusion Assessment Method After planned interim analysis, stopped early because prespecified criteria significance attained. Compared group’s average Questionnaire total score 47.3 (95% CI, 40.8–53.8), significantly higher 64.5 58.3–70.7; p = 0.0007). no significant between-group differences scores scores. CONCLUSIONS: These results suggest that are effective improving undergoing assessments. strengthen evidence nonpharmacologic sleep-promoting adjuncts

Language: Английский

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Effects of nonpharmacological interventions on sleep improvement and delirium prevention in critically ill patients: A systematic review and meta-analysis

Australian Critical Care, Journal Year: 2022, Volume and Issue: 36(4), P. 640 - 649

Published: June 17, 2022

Language: Английский

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Non-invasive Techniques for Monitoring Different Aspects of Sleep: A Comprehensive Review

ACM Transactions on Computing for Healthcare, Journal Year: 2022, Volume and Issue: 3(2), P. 1 - 26

Published: March 3, 2022

Quality sleep is very important for a healthy life. Nowadays, many people around the world are not getting enough which having negative impacts on their lifestyles. Studies being conducted monitoring and have now become an tool understanding behavior. The gold standard method analysis polysomnography (PSG) in clinical environment but this both expensive complex long-term use. With advancements field of sensors introduction off-the-shelf technologies, unobtrusive solutions becoming common as alternatives in-home monitoring. Various been proposed using wearable non-wearable methods cheap easy to use In paper, we present comprehensive survey latest research works (2015 after) various categories including stage classification, posture recognition, disorders detection, vital signs We review done non-invasive approach cover methods. discuss design approaches key attributes work presented provide extensive based 10 factors, give overview recent developments trends all four also some publicly available datasets different end, several open issues future directions area

Language: Английский

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A systematic review of the performance of actigraphy in measuring sleep stages

Journal of Sleep Research, Journal Year: 2024, Volume and Issue: 33(5)

Published: Feb. 21, 2024

The accuracy of actigraphy for sleep staging is assumed to be poor, but examination limited. This systematic review aimed assess the performance in stage classification adults. A search was performed using MEDLINE, Web Science, Google Scholar, and Embase databases. We identified eight studies that compared architecture estimates between wrist-worn polysomnography. Large heterogeneity found with respect how stages were grouped, choice metrics used evaluate performance. Quantitative synthesis not possible, so we a narrative literature. From limited number studies, actigraphy-based had some ability classify different

Language: Английский

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Effect of massage therapy on sleep quality in critically ill patients: A systematic review and meta‐analysis

Journal of Clinical Nursing, Journal Year: 2023, Volume and Issue: 32(15-16), P. 4362 - 4373

Published: Feb. 23, 2023

Abstract Aim The aim of the study was to compare effects massage interventions on sleep quality among patients in adult critical care unit. Background Massage have positive when applied manage units. However, research identifying effect intervention is limited. Design This adhered Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines. Methods Five databases were searched from their inception 15 April 2022 (the last search conducted November 2022, but it yielded no additional eligible studies). literature using Embase, MEDLINE, Cochrane Library, CINAHL, PsycINFO sources such as Google Scholar. risk bias tool randomised trials (RoB 2.0) used assess bias. Grading Recommendations Assessment, Development Evaluation (GRADE) system assessed certainty evidence recommendations. Results In total, ten controlled comprising 569 participants systematic review, eight included meta‐analysis. Subgroup analysis revealed significant foot reflexology subjective quality. therapy a two‐night duration cardiac unit exhibited overall GRADE low. Conclusion intervention, particularly massage, with showed improvement critically ill patients. Although low, results suggest that provide non‐invasive, low‐cost effective way promote Relevance clinical practice can enable nurses recommend implement strategies promoting improving Study registration review protocol registered priori published online PROSPERO database reviews ( www.crd.York.ac.uk/Prospero number # CRD42022332371). Patient or public contribution No patient if details are not necessary do apply your work state why.

Language: Английский

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Actigraphy to Measure Physical Activity in the Intensive Care Unit: A Systematic Review

Journal of Intensive Care Medicine, Journal Year: 2019, Volume and Issue: 35(11), P. 1323 - 1331

Published: July 22, 2019

In the intensive care unit (ICU), prolonged inactivity is common, increasing patients' risk for adverse outcomes, including ICU-acquired weakness. Hence, interventions to minimize are gaining popularity, highlighting actigraphy, a measure of activity involving wristwatch-like accelerometer, as method inform these efforts. Therefore, we performed systematic review studies that used actigraphy patient in ICU setting.

Language: Английский

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Sleep assessment in critically ill adults: A systematic review and meta-analysis

Journal of Critical Care, Journal Year: 2022, Volume and Issue: 71, P. 154102 - 154102

Published: July 15, 2022

Language: Английский

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