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Evaluation of Sleep Architecture Using 24-hour Polysomnography in Patients Recovering from Critical Illness in an Intensive Care Unit and High Dependency Unit: A Longitudinal, Prospective, and Observational Study Cover

Evaluation of Sleep Architecture Using 24-hour Polysomnography in Patients Recovering from Critical Illness in an Intensive Care Unit and High Dependency Unit: A Longitudinal, Prospective, and Observational Study

Open Access
|Nov 2021

Figures & Tables

Fig. 1

Flow diagram of subject recruitment
Flow diagram of subject recruitment

Fig. 2

24 Hr illuminance records of Intensive Care Units (ICU) (A) and High Dependency Units (HDU) (B) (paired t-test)
24 Hr illuminance records of Intensive Care Units (ICU) (A) and High Dependency Units (HDU) (B) (paired t-test)

Fig. 3

24 Hr Sound level (A-weighted) records of Intensive Care Units (ICU) (A) and High Dependency Units (HDU) (B) (paired t-test)
24 Hr Sound level (A-weighted) records of Intensive Care Units (ICU) (A) and High Dependency Units (HDU) (B) (paired t-test)

Comparison of Illuminance and Sound levels in Intensive Care Units (ICU) and High Dependency Units (HDU) (paired t-test)

ICUHINDUP-value
Light (Illuminance)(Lux)
Mean illuminance55.06 (4.68)112.06 (3.66)<0.0001
Mean day illuminance77.09 (3.66)160.52 (6.07)<0.0001
Mean night illuminance14.98 (2.04)23.67(2.62)<0.0001

Sound (Noise) level (decibel-dB)- A-weighted
Mean sound level59.17 (1.69)59.12 (1.49)0.904
Mean day sound level62.08 (2.11)62.07 (2.13)0.988
Mean night level53.64 (2.11)53.67 (1.67)0.968

The demographic and clinical characteristics of the study population

VariableValues
Age (mean years)35.96(11.60)

Sex
      Male, n(%)14 (53.8%)
      Female, n(%)12 (46.2%)

Diagnosis
Respiratory failure
      Snakebite envenomation
      Organophosphate poisoning
      ARDS
      COPD
      Fat embolism
      Acute severe asthma with
      pneumothorax
Sepsis

Comorbidity (n)
      Hypertension
      Diabetes Mellitus
      Chronic Kidney Disease
      Hypothyroidism

Smoking9

Insomnia Severity Index (mean)6.88(2.58)

Epworth Sleepiness Score(mean)4.92(1.99)

SOFA (mean)5.1(1.27)

APACHE II (mean)19.38(3.72)

RASS (median)0 (-1 – 1)

Ventilator days (mean)5.38(2.11)

Intensive care unit (ICU) stay in days (mean)7.38(1.74)

Comparison of PSG data of Intensive Care Units (ICU) and High Dependency Units (HDU) (paired t-test)

PSG parameters in ICUPSG parameters in HDUP-value
TRT1320.40 (87.76)1337.31 (65.66)0.44
SPT1090.60 (107.85)1042 (74.22)0.11
TEST520.25 (89.59)499.06 (57.72)0.25
WASO579.25 (137.43)530.73 (98.93)0.18
N1148.2 (42.8)109.36 (25.79)0.0002
N1%28.80 (7.30)21.88 (4.30)0.0001
N2315.73 (74.56)278.71 (38.99)0.027
N2%60.3 (8.65)55.86 (4.00)0.021
N334.19 (12.51)71.55 (20.53)<0.0001
N3%6.66 (2.30)14.34 (3.87)<0.0001
REM22.88 (21.03)38.44 (19.42)0.01
REM%4.20 (3.68)8.20 (3.54)0.001
Arousal index22.65 (10.49)16.55 (5.15)0.006
Sleep w/o wake3.18 (1.35)4.01 (1.39)0.03
Day sleep256.32 (57.33)188.09 (36.82)<0.0001
Day sleep %49.55 (9.29)37.71 (5.91)<0.0001
Night sleep263.72 (68.09)310.81 (21.02)0.0016
Night sleep%50.46 (9.36)62.28 (8.01)0.0001
DOI: https://doi.org/10.2478/jccm-2021-0023 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 257 - 266
Submitted on: Mar 9, 2021
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Accepted on: Jun 28, 2021
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Published on: Nov 6, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Brijesh Prajapat, Nitesh Gupta, Dhruva Chaudhry, Ario Santini, AS Sandhya, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution 4.0 License.