Sleep Disturbances Associated with Delirium in Conscious Patients in the Intensive Care Unit

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00098892%3A_____%2F25%3A10159001" target="_blank" >RIV/00098892:_____/25:10159001 - isvavai.cz</a>

Výsledek na webu

<a href="https://turkishjic.org/article/view/569" target="_blank" >https://turkishjic.org/article/view/569</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.4274/tybd.galenos.2024.59480" target="_blank" >10.4274/tybd.galenos.2024.59480</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Sleep Disturbances Associated with Delirium in Conscious Patients in the Intensive Care Unit

Popis výsledku v původním jazyce

Objective: The primary aim of the study was to analyse the relationship between subjective sleep quality assessed with the numeric rating scale (NRS) and the presence of delirium identified with both the confusion assessment method for the intensive care unit (CAM-ICU) and intensive care delirium screening checklist (ICDSC). The secondary objective was to analyse the effect of other selected predictors on delirium. Materials and Methods: The prospective observational study included 126 non-intubated patients staying in the intensive care unit for more than 24 hours. Delirium was assessed simultaneously with both instruments (CAM-ICU and ICDSC) twice daily, and perceived sleep quality (NRS) was evaluated once a day. From 126 patients, 1299 paired questionnaires and 278 NRS records were obtained. Results: There were 37 (29.4%) and 40 (31.7%) patients identified as CAM-ICU positive or having an ICDSC score ≥4, respectively. An NRS ≤5 was found in 93 patients (73.8%). A statistically significant relationship between the incidence of delirium (assessed by two instruments) and sleep quality (NRS ≤5) was confirmed. The CAM-ICU positivity was 0.391 [95% confidence interval (CI), 0.36 to 0.421 (p<0.001)], and the ICDSC positivity was 0.463 [95% CI, 0.435 to 0.491 (p<0.001)]. This relationship strength (assessed using Kendall’s Tau) was rated as moderate. Conclusion: The study suggests a relationship between delirium and subjectively assessed sleep quality. In this respect, sleep disturbances are likely to contribute to the development of delirium, even without valid objective data confirming them as a definite risk factor.

Název v anglickém jazyce

Sleep Disturbances Associated with Delirium in Conscious Patients in the Intensive Care Unit

Popis výsledku anglicky

Objective: The primary aim of the study was to analyse the relationship between subjective sleep quality assessed with the numeric rating scale (NRS) and the presence of delirium identified with both the confusion assessment method for the intensive care unit (CAM-ICU) and intensive care delirium screening checklist (ICDSC). The secondary objective was to analyse the effect of other selected predictors on delirium. Materials and Methods: The prospective observational study included 126 non-intubated patients staying in the intensive care unit for more than 24 hours. Delirium was assessed simultaneously with both instruments (CAM-ICU and ICDSC) twice daily, and perceived sleep quality (NRS) was evaluated once a day. From 126 patients, 1299 paired questionnaires and 278 NRS records were obtained. Results: There were 37 (29.4%) and 40 (31.7%) patients identified as CAM-ICU positive or having an ICDSC score ≥4, respectively. An NRS ≤5 was found in 93 patients (73.8%). A statistically significant relationship between the incidence of delirium (assessed by two instruments) and sleep quality (NRS ≤5) was confirmed. The CAM-ICU positivity was 0.391 [95% confidence interval (CI), 0.36 to 0.421 (p<0.001)], and the ICDSC positivity was 0.463 [95% CI, 0.435 to 0.491 (p<0.001)]. This relationship strength (assessed using Kendall’s Tau) was rated as moderate. Conclusion: The study suggests a relationship between delirium and subjectively assessed sleep quality. In this respect, sleep disturbances are likely to contribute to the development of delirium, even without valid objective data confirming them as a definite risk factor.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30221 - Critical care medicine and Emergency medicine

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Turkish Journal of Intensive Care

ISSN

—

e-ISSN

2602-2974

Svazek periodika

23

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

TR - Turecká republika

Počet stran výsledku

10

Strana od-do

20-29

Kód UT WoS článku

001433479700001

EID výsledku v databázi Scopus

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