Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study
OBJECTIVES:. It is well-established that sleep quality of ICU patients is poor, with sleep being highly fragmented by multiple awakenings. These sleep disruptions are associated with poor outcomes such as prolonged weaning duration from mechanical ventilation. Polysomnography can measure sleep conti...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-12-01
|
| Series: | Critical Care Explorations |
| Online Access: | http://journals.lww.com/10.1097/CCE.0000000000001016 |
| _version_ | 1797375052656672768 |
|---|---|
| author | Eloïse Van Camp, MSc Christophe Rault, PhD Quentin Heraud, RN Jean-Pierre Frat, PhD Anais Balbous, PhD Arnaud W. Thille, PhD Pierre-Olivier Fernagut, PhD Xavier Drouot, PhD |
| author_facet | Eloïse Van Camp, MSc Christophe Rault, PhD Quentin Heraud, RN Jean-Pierre Frat, PhD Anais Balbous, PhD Arnaud W. Thille, PhD Pierre-Olivier Fernagut, PhD Xavier Drouot, PhD |
| author_sort | Eloïse Van Camp, MSc |
| collection | DOAJ |
| description | OBJECTIVES:. It is well-established that sleep quality of ICU patients is poor, with sleep being highly fragmented by multiple awakenings. These sleep disruptions are associated with poor outcomes such as prolonged weaning duration from mechanical ventilation. Polysomnography can measure sleep continuity, a parameter associated positively with outcomes in patients treated with noninvasive ventilation, but polysomnography is not routinely available in all ICUs, and simple means to assess sleep quality are needed. The Richards-Campbell sleep questionnaire (RCSQ) assesses sleep quality in ICU patients but is difficult to administrate in patients who are not fully awake, and a simpler sleep numeric rating scale (sleep-NRS) has been proposed as an alternative. We here investigated the relationships between sleep continuity and patients-reported sleep quality.
DESIGN:. Single-center retrospective study.
SETTING:. Medical ICU of Poitiers University Hospital.
PATIENTS:. Seventy-two patients were extubated from mechanical ventilation and at high risk of reintubation.
INTERVENTIONS:. None.
MEASUREMENTS AND MAIN RESULTS:. We analyzed 52 previously recorded polysomnographies in nonsedated and conscious ICU patients. Sleep was recorded the night after extubation. Sleep continuity was measured using an automated scoring algorithm from one electroencephalogram (EEG) channel of the polysomnography. Patient-reported sleep quality was assessed using RCSQ and sleep-NRS. Sleep continuity could be calculated on 45 polysomnographies (age: 68 [58–77], median [25th–75th]) RCSQ (62 [48–72]) and sleep-NRS (6.0 [5.0–7.0]) were obtained in 21 patients and 34 patients, respectively. Our results show a significant correlation between sleep continuity and sleep-NRS (p = 0.0037; ρ = 0.4844; n = 34) but not with RCSQ score (p = 0.6732; ρ = 0.1005; n = 20).
CONCLUSION:. Sleep continuity correlates with patient-reported sleep quality assessed using sleep-NRS and may capture the refreshing part of sleep. Sleep-NRS can be easily administered in ICU patients. Sleep continuity and sleep-NRS are simple tools that may prove useful to evaluate sleep quality in ICU patients. |
| first_indexed | 2024-03-08T19:16:39Z |
| format | Article |
| id | doaj.art-8ce0d8907e764fb0b2110aa8f6e54c8e |
| institution | Directory Open Access Journal |
| issn | 2639-8028 |
| language | English |
| last_indexed | 2024-03-08T19:16:39Z |
| publishDate | 2023-12-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Critical Care Explorations |
| spelling | doaj.art-8ce0d8907e764fb0b2110aa8f6e54c8e2023-12-27T06:49:37ZengWolters KluwerCritical Care Explorations2639-80282023-12-01512e101610.1097/CCE.0000000000001016202312000-00006Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot StudyEloïse Van Camp, MSc0Christophe Rault, PhD1Quentin Heraud, RN2Jean-Pierre Frat, PhD3Anais Balbous, PhD4Arnaud W. Thille, PhD5Pierre-Olivier Fernagut, PhD6Xavier Drouot, PhD71 INSERM U-1084, Experimental and Clinical Neurosciences Laboratory, Neurobiology and Neuroplasticity and Neuro-development Group, Poitiers, France. INSERM, CIC 1402, Equipe IS-Alive; Université de Poitiers, Faculté de Médecine et de Pharmacie, Poitiers, France.3 INSERM, CIC 1402, CHU de Poitiers, Poitiers, France.4 CHU de Poitiers, Service de Médecine intensive et réanimation, Poitiers, France.5 CHU de Poitiers, Service de Neurophysiologie Clinique, Poitiers, France.1 INSERM U-1084, Experimental and Clinical Neurosciences Laboratory, Neurobiology and Neuroplasticity and Neuro-development Group, Poitiers, France. INSERM, CIC 1402, Equipe IS-Alive; Université de Poitiers, Faculté de Médecine et de Pharmacie, Poitiers, France.5 CHU de Poitiers, Service de Neurophysiologie Clinique, Poitiers, France.1 INSERM U-1084, Experimental and Clinical Neurosciences Laboratory, Neurobiology and Neuroplasticity and Neuro-development Group, Poitiers, France. INSERM, CIC 1402, Equipe IS-Alive; Université de Poitiers, Faculté de Médecine et de Pharmacie, Poitiers, France.1 INSERM U-1084, Experimental and Clinical Neurosciences Laboratory, Neurobiology and Neuroplasticity and Neuro-development Group, Poitiers, France. INSERM, CIC 1402, Equipe IS-Alive; Université de Poitiers, Faculté de Médecine et de Pharmacie, Poitiers, France.OBJECTIVES:. It is well-established that sleep quality of ICU patients is poor, with sleep being highly fragmented by multiple awakenings. These sleep disruptions are associated with poor outcomes such as prolonged weaning duration from mechanical ventilation. Polysomnography can measure sleep continuity, a parameter associated positively with outcomes in patients treated with noninvasive ventilation, but polysomnography is not routinely available in all ICUs, and simple means to assess sleep quality are needed. The Richards-Campbell sleep questionnaire (RCSQ) assesses sleep quality in ICU patients but is difficult to administrate in patients who are not fully awake, and a simpler sleep numeric rating scale (sleep-NRS) has been proposed as an alternative. We here investigated the relationships between sleep continuity and patients-reported sleep quality. DESIGN:. Single-center retrospective study. SETTING:. Medical ICU of Poitiers University Hospital. PATIENTS:. Seventy-two patients were extubated from mechanical ventilation and at high risk of reintubation. INTERVENTIONS:. None. MEASUREMENTS AND MAIN RESULTS:. We analyzed 52 previously recorded polysomnographies in nonsedated and conscious ICU patients. Sleep was recorded the night after extubation. Sleep continuity was measured using an automated scoring algorithm from one electroencephalogram (EEG) channel of the polysomnography. Patient-reported sleep quality was assessed using RCSQ and sleep-NRS. Sleep continuity could be calculated on 45 polysomnographies (age: 68 [58–77], median [25th–75th]) RCSQ (62 [48–72]) and sleep-NRS (6.0 [5.0–7.0]) were obtained in 21 patients and 34 patients, respectively. Our results show a significant correlation between sleep continuity and sleep-NRS (p = 0.0037; ρ = 0.4844; n = 34) but not with RCSQ score (p = 0.6732; ρ = 0.1005; n = 20). CONCLUSION:. Sleep continuity correlates with patient-reported sleep quality assessed using sleep-NRS and may capture the refreshing part of sleep. Sleep-NRS can be easily administered in ICU patients. Sleep continuity and sleep-NRS are simple tools that may prove useful to evaluate sleep quality in ICU patients.http://journals.lww.com/10.1097/CCE.0000000000001016 |
| spellingShingle | Eloïse Van Camp, MSc Christophe Rault, PhD Quentin Heraud, RN Jean-Pierre Frat, PhD Anais Balbous, PhD Arnaud W. Thille, PhD Pierre-Olivier Fernagut, PhD Xavier Drouot, PhD Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study Critical Care Explorations |
| title | Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study |
| title_full | Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study |
| title_fullStr | Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study |
| title_full_unstemmed | Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study |
| title_short | Correlation Between Sleep Continuity and Patient-Reported Sleep Quality in Conscious Critically Ill Patients at High Risk of Reintubation: A Pilot Study |
| title_sort | correlation between sleep continuity and patient reported sleep quality in conscious critically ill patients at high risk of reintubation a pilot study |
| url | http://journals.lww.com/10.1097/CCE.0000000000001016 |
| work_keys_str_mv | AT eloisevancampmsc correlationbetweensleepcontinuityandpatientreportedsleepqualityinconsciouscriticallyillpatientsathighriskofreintubationapilotstudy AT christopheraultphd correlationbetweensleepcontinuityandpatientreportedsleepqualityinconsciouscriticallyillpatientsathighriskofreintubationapilotstudy AT quentinheraudrn correlationbetweensleepcontinuityandpatientreportedsleepqualityinconsciouscriticallyillpatientsathighriskofreintubationapilotstudy AT jeanpierrefratphd correlationbetweensleepcontinuityandpatientreportedsleepqualityinconsciouscriticallyillpatientsathighriskofreintubationapilotstudy AT anaisbalbousphd correlationbetweensleepcontinuityandpatientreportedsleepqualityinconsciouscriticallyillpatientsathighriskofreintubationapilotstudy AT arnaudwthillephd correlationbetweensleepcontinuityandpatientreportedsleepqualityinconsciouscriticallyillpatientsathighriskofreintubationapilotstudy AT pierreolivierfernagutphd correlationbetweensleepcontinuityandpatientreportedsleepqualityinconsciouscriticallyillpatientsathighriskofreintubationapilotstudy AT xavierdrouotphd correlationbetweensleepcontinuityandpatientreportedsleepqualityinconsciouscriticallyillpatientsathighriskofreintubationapilotstudy |