Lippincott Williams & Wilkins



Supplemental Table 48. Description of studies that have evaluated a multi-component sleep protocol in the ICUFirst author and yearStudy designPopulationIntervention componentsOutcomes studiedSample size per groupResultsLimitationsQuality of evidenceHu 2015 ADDIN EN.CITE <EndNote><Cite><Author>Hu</Author><Year>2015</Year><RecNum>2306</RecNum><DisplayText>[1]</DisplayText><record><rec-number>2306</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232836">2306</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Hu, Rong-Fang</author><author>Jiang, Xiao-Ying</author><author>Chen, Junmin</author><author>Zeng, Zhiyong</author><author>Chen, Xiao Y.</author><author>Li, Yueping</author><author>Huining, Xin</author><author>Evans, David Jw</author></authors></contributors><titles><title>Non-pharmacological interventions for sleep promotion in the intensive care unit</title><secondary-title>Cochrane Database Syst. Rev.</secondary-title></titles><periodical><full-title>Cochrane Database Syst. Rev.</full-title></periodical><number>10</number><keywords><keyword>Intensive Care Units Sleep Delirium [prevention &amp; control] Ear Protective Devices Eye Protective Devices Length of Stay Music Randomized Controlled Trials as Topic Sleep Wake Disorders [therapy] Ventilators, Mechanical Adult[checkword] Humans[checkword]</keyword><keyword>20170921 - goodson.txt</keyword></keywords><dates><year>2015</year><pub-dates><date>2015</date></pub-dates></dates><publisher>John Wiley &amp; Sons, Ltd</publisher><urls><related-urls><url>;[1]RCTHeart surgery patients (2/3 valves) in ICU for ≥ 48 hEarplugs and eye masks at night and 30 min of relaxing music (vs usual care)Patient self-reported sleep (RCSQ)20 intervention, 25 controlPerceived sleep quality better in the intervention groupAllocation concealment unclear. Outcome assessments not blinded. Population not generalizable. Low to very low; highest for sleep quality and delirium.Kamdar 2013 ADDIN EN.CITE <EndNote><Cite><Author>Kamdar</Author><Year>2013</Year><RecNum>382</RecNum><DisplayText>[2]</DisplayText><record><rec-number>382</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232720">382</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Kamdar, Biren B.</author><author>King, Lauren M.</author><author>Collop, Nancy A.</author><author>Sakamuri, Sruthi</author><author>Colantuoni, Elizabeth</author><author>Neufeld, Karin J.</author><author>Bienvenu, O. Joseph</author><author>Rowden, Annette M.</author><author>Touradji, Pegah</author><author>Brower, Roy G.</author><author>Needham, Dale M.</author></authors></contributors><titles><title>The effect of a quality improvement intervention on perceived sleep quality and cognition in a medical ICU</title><secondary-title>Crit. Care Med.</secondary-title></titles><periodical><full-title>Crit. Care Med.</full-title></periodical><pages>800-809</pages><volume>41</volume><number>3</number><keywords><keyword>ICU Rehab 2016</keyword></keywords><dates><year>2013</year><pub-dates><date>2013/3</date></pub-dates></dates><isbn>0090-3493</isbn><urls><related-urls><url>;[2]Observational pre- postinterventionMedical ICU ≥ 24 h 1. Nighttime environmental interventions.Daytime interventions to promote normal circadianrhythms and nighttime sleep.2. Aboveplus nonpharmacological sleep aids.3. Pharmacologic guideline added for patients unable to sleep despite the Stage1 and 2 interventionsIn ICU: Patient sleep on RCSQ reported by patients or assessed by nurses if needed (45%).Delirium (CAM-ICU). Post-ICU:Patient retrospective sleep repost (SICQ).Neuro cognitive function.LOS.Mortality. 122 baseline178 interventionNo improvement in sleep quality.Delirium decreased. No reduction in ICU or hospital length of stayor mortalityLow uptake of some internventions especially ear plugs, eye shades and music. Very lowLi 2011 ADDIN EN.CITE <EndNote><Cite><Author>Lee</Author><Year>2012</Year><RecNum>232</RecNum><DisplayText>[3]</DisplayText><record><rec-number>232</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232711">232</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Lee, Christie M.</author><author>Fan, Eddy</author></authors></contributors><auth-address>Interdepartmental Division of Critical Care Medicine, University of Toronto, and the Division of Respirology, Department of Medicine, Mount Sinai Hospital and University Health Network, Toronto, Ontario, Canada.</auth-address><titles><title>ICU-acquired weakness: what is preventing its rehabilitation in critically ill patients?</title><secondary-title>BMC Med.</secondary-title></titles><periodical><full-title>BMC Med.</full-title></periodical><pages>115</pages><volume>10</volume><keywords><keyword>ICU Rehab 2015</keyword></keywords><dates><year>2012</year><pub-dates><date>2012/10/3</date></pub-dates></dates><isbn>1741-7015</isbn><urls><related-urls><url> Papers/L/Lee and Fan 2012 - ICU-acquired weakness - what is preventing its rehabilitation in critically ill patients.pdf</url></pdf-urls></urls><electronic-resource-num>10.1186/1741-7015-10-115</electronic-resource-num></record></Cite></EndNote>[3]Observational pre- postinterventionMed-surg ICUEye shades plus earphones with relaxing musicSleep – self-reported.Deliium CAM-ICU15 baseline, 13 interventionNo improvement in self-reported sleep.No decrease in deliriumSmall sample sizeLowPatel 2014 ADDIN EN.CITE <EndNote><Cite><Author>Patel</Author><Year>2014</Year><RecNum>1910</RecNum><DisplayText>[4]</DisplayText><record><rec-number>1910</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232812">1910</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Patel, Shruti B.</author><author>Poston, Jason T.</author><author>Pohlman, Anne</author><author>Hall, Jesse B.</author><author>Kress, John P.</author></authors></contributors><auth-address>Department of Medicine, Section of Pulmonary and Critical Care, University of Chicago, Chicago, Illinois.</auth-address><titles><title>Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit</title><secondary-title>Am. J. Respir. Crit. Care Med.</secondary-title></titles><periodical><full-title>Am. J. Respir. Crit. Care Med.</full-title></periodical><pages>658-665</pages><volume>189</volume><number>6</number><dates><year>2014</year><pub-dates><date>2014/3/15</date></pub-dates></dates><isbn>1073-449X</isbn><urls><related-urls><url> Papers/P/Patel et al. 2014 - Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit.pdf</url></pdf-urls></urls><electronic-resource-num>10.1164/rccm.201310-1815OC</electronic-resource-num></record></Cite></EndNote>[4]Observational pre- postinterventionMed-surg ICU ≥ 1 night, off sedation 24 h.Noise and light reduction, patient care practices to minimise interruptions, target sedation, early mobilization; simultaneously introduced.Self-reported sleep (RCSQ)Delirium – CAM-ICU31 baseline, 29 intervention Improved self-reported sleep quality.Decreased delirium.Unclear if patients still affected by sedatives.Very lowRCSQ – Richards-Campbell Sleep Questionnaire; CAM-ICU – Confusion Assessment Method for the ICU; SICQ – Sleep in Intensive Care QuestionnaireReferences ADDIN EN.REFLIST 1.Hu R-F, Jiang X-Y, Chen J, Zeng Z, Chen XY, Li Y, Huining X, Evans DJ: Non-pharmacological interventions for sleep promotion in the intensive care unit. Cochrane Database Syst Rev 2015(10).2.Kamdar BB, King LM, Collop NA, Sakamuri S, Colantuoni E, Neufeld KJ, Bienvenu OJ, Rowden AM, Touradji P, Brower RG et al: The effect of a quality improvement intervention on perceived sleep quality and cognition in a medical ICU. Crit Care Med 2013, 41(3):800-809.3.Li SY, Wang TJ, Vivienne Wu SF, Liang SY, Tung HH: Efficacy of controlling night-time noise and activities to improve patients sleep quality in a surgical intensive care unit. Journal ofClinical Nursing 2011; 20:396–4074.Patel SB, Poston JT, Pohlman A, Hall JB, Kress JP: Rapidly reversible, sedation-related delirium versus persistent delirium in the intensive care unit. Am J Respir Crit Care Med 2014, 189(6):658-665. ................
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