Lippincott Williams & Wilkins
Supplemental Table 45. Results from Studies that have Compared PSG to other Methods to Evaluate Sleep in the ICUPSG vs. Nursing Observation and/or Patient PerceptionAuthor, YearStudy DesignNPatient CharacteristicsComparisonFindingsCommentsAurell, 1985 ADDIN EN.CITE <EndNote><Cite><Author>Aurell</Author><Year>1985</Year><RecNum>2081</RecNum><DisplayText>[1]</DisplayText><record><rec-number>2081</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232822">2081</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Aurell, J.</author><author>Elmqvist, D.</author></authors></contributors><titles><title>Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care</title><secondary-title>Br. Med. J.</secondary-title></titles><periodical><full-title>Br. Med. J.</full-title></periodical><pages>1029-1032</pages><volume>290</volume><number>6474</number><dates><year>1985</year><pub-dates><date>1985/4/6</date></pub-dates></dates><isbn>0267-0623</isbn><urls><related-urls><url> Papers/A/Aurell and Elmqvist 1985 - Sleep in the surgical intensive care unit - ... aphic recording of sleep in nine patients receiving postoperative care.pdf</url></pdf-urls></urls></record></Cite></EndNote>[1]Prospective observational6Post op – major/noncardiac surgeryPSG vs. nurse observationSleep time consistently overestimated compared to parallel PSGStudy included 536 hrs, 26 nights of dataFontaine, 1989 ADDIN EN.CITE <EndNote><Cite><Author>Fontaine</Author><Year>1989</Year><RecNum>2078</RecNum><DisplayText>[2]</DisplayText><record><rec-number>2078</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232822">2078</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Fontaine, D. K.</author></authors></contributors><auth-address>University of Maryland School of Nursing, Baltimore 21201.</auth-address><titles><title>Measurement of nocturnal sleep patterns in trauma patients</title><secondary-title>Heart Lung</secondary-title></titles><periodical><full-title>Heart Lung</full-title></periodical><pages>402-410</pages><volume>18</volume><number>4</number><dates><year>1989</year><pub-dates><date>1989/7</date></pub-dates></dates><isbn>0147-9563</isbn><urls><related-urls><url>;[2]Prospective observational20Multisystem traumaPSG vs. nurse observation vs patient perceptionNurse observed WASO was similar to PSG.MSA underestimated by nurse observation compared to PSGEdwards, 1993 ADDIN EN.CITE <EndNote><Cite><Author>Edwards</Author><Year>1993</Year><RecNum>2082</RecNum><DisplayText>[3]</DisplayText><record><rec-number>2082</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232822">2082</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Edwards, G. B.</author><author>Schuring, L. M.</author></authors></contributors><auth-address>W.A. Foote Hospital, Jackson, Mich.</auth-address><titles><title>Pilot study: validating staff nurses' observations of sleep and wake states among critically ill patients, using polysomnography</title><secondary-title>Am. J. Crit. Care</secondary-title></titles><periodical><full-title>Am. J. Crit. Care</full-title></periodical><pages>125-131</pages><volume>2</volume><number>2</number><dates><year>1993</year><pub-dates><date>1993/3</date></pub-dates></dates><isbn>1062-3264</isbn><urls><related-urls><url>;[3]Prospective observational21oriented to person, place, time; stable physiologic statusPSG vs. nurse observationWhen nurse indicated awake they were correct 69.6%; when indicated asleep they were correct 87.9%15 nurses participated; 340 observations madeBeecroft, 2008 ADDIN EN.CITE <EndNote><Cite><Author>Beecroft</Author><Year>2008</Year><RecNum>2079</RecNum><DisplayText>[4]</DisplayText><record><rec-number>2079</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232822">2079</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Beecroft, Jaime M.</author><author>Ward, Michael</author><author>Younes, Magdy</author><author>Crombach, Shelley</author><author>Smith, Orla</author><author>Hanly, Patrick J.</author></authors></contributors><auth-address>Department of Medicine, University of Calgary, Calgary, AB, Canada.</auth-address><titles><title>Sleep monitoring in the intensive care unit: comparison of nurse assessment, actigraphy and polysomnography</title><secondary-title>Intensive Care Med.</secondary-title></titles><periodical><full-title>Intensive Care Med.</full-title></periodical><pages>2076-2083</pages><volume>34</volume><number>11</number><dates><year>2008</year><pub-dates><date>2008/11</date></pub-dates></dates><isbn>0342-4642</isbn><urls><related-urls><url> Papers/B/Beecroft et al. 2008 - Sleep monitoring in the intensive care unit - comparison of nurse assessment, actigraphy and polysomnography.pdf</url></pdf-urls></urls><electronic-resource-num>10.1007/s00134-008-1180-y</electronic-resource-num></record></Cite></EndNote>[4]Prospective observational12Mechanically ventilated; patients were excluded if GCS ≤ 10, lorazepam eq dose ≥ 10?g/kg, or had received paralyticPSG vs. nurse observation vs actigraphyNurse assessment underestimated # of awakenings compared to PSG; Despite similar values reported for TST and SE, correlational analysis indicated there was no significant relationship between nurse and psg assessements for TST, SE, or # of awakenings; Overall agreement between actigraphy and PSG was <65%Elliot, 2013 ADDIN EN.CITE <EndNote><Cite><Author>Elliott</Author><Year>2013</Year><RecNum>1982</RecNum><DisplayText>[5]</DisplayText><record><rec-number>1982</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232817">1982</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Elliott, Rosalind</author><author>McKinley, Sharon</author><author>Cistulli, Peter</author><author>Fien, Mary</author></authors></contributors><titles><title>Characterisation of sleep in intensive care using 24-hour polysomnography: an observational study</title><secondary-title>Crit. Care</secondary-title></titles><periodical><full-title>Crit. Care</full-title></periodical><pages>R46</pages><volume>17</volume><number>2</number><dates><year>2013</year><pub-dates><date>2013/3/18</date></pub-dates></dates><isbn>0270-7462</isbn><urls><related-urls><url> Papers/E/Elliott et al. 2013 - Characterisation of sleep in intensive care using 24-hour polysomnography - an observational study.pdf</url></pdf-urls></urls><electronic-resource-num>10.1186/cc12565</electronic-resource-num></record></Cite></EndNote>[5]Prospective observational57 enrolled, PSG data analyzed for 53Pts were all able to give informed consent on their own behalf (described as interactive and calm). Data analyzed for 53 pts. 26 pts on MV (PSV, PCV, SIMV), 12 pts were extubated during PSG monitoring. Study did include pts receiving benzos and opiatesPSG v.s patient perceptions as measured by RCSQ and Sleep in the ICU QuestionaireNo direct comparison; but TST 5hrs, RCSQ for ICU 57.5PSG vs. actigraphyAuthor, YearStudy DesignNPatient CharacteristicsComparisonFindingsBeecroft 2008 ADDIN EN.CITE <EndNote><Cite><Author>Beecroft</Author><Year>2008</Year><RecNum>2079</RecNum><DisplayText>[4]</DisplayText><record><rec-number>2079</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232822">2079</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Beecroft, Jaime M.</author><author>Ward, Michael</author><author>Younes, Magdy</author><author>Crombach, Shelley</author><author>Smith, Orla</author><author>Hanly, Patrick J.</author></authors></contributors><auth-address>Department of Medicine, University of Calgary, Calgary, AB, Canada.</auth-address><titles><title>Sleep monitoring in the intensive care unit: comparison of nurse assessment, actigraphy and polysomnography</title><secondary-title>Intensive Care Med.</secondary-title></titles><periodical><full-title>Intensive Care Med.</full-title></periodical><pages>2076-2083</pages><volume>34</volume><number>11</number><dates><year>2008</year><pub-dates><date>2008/11</date></pub-dates></dates><isbn>0342-4642</isbn><urls><related-urls><url> Papers/B/Beecroft et al. 2008 - Sleep monitoring in the intensive care unit - comparison of nurse assessment, actigraphy and polysomnography.pdf</url></pdf-urls></urls><electronic-resource-num>10.1007/s00134-008-1180-y</electronic-resource-num></record></Cite></EndNote>[4]Prospective observational12Mechanically ventilated; patients were excluded if GCS ≤ 10, lorazepam eq dose ≥ 10?g/kg, or had received paralyticPSG vs nurse observation vs actigraphyOverall agreement between actigraphy and PSG was <65%Van der Kooi, 2013 PEVuZE5vdGU+PENpdGU+PEF1dGhvcj52YW4gZGVyIEtvb2k8L0F1dGhvcj48WWVhcj4yMDEzPC9Z
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ADDIN EN.CITE.DATA [6]Prospective observational77 post cardiothoracic surgery pts (6 CAB, 1 valve repair); may have received sedatives, opioids, and even neuromuscular blockadePSG vs. actigraphyThe # of awakenings was the only parameter that showed a statistically significant correlation (r=0.76, P=0.049)Median sensitivity to detect sleep was 94% (IQR 91-98%); median specificity 19% (IQR 8-24%)Actigraphy underestimated wake time and overestimated sleep compared to PSGPSG vs. spectral analysisAuthor, YearStudy DesignNPatient CharacteristicsComparisonFindingsAmbrogio, 2008 ADDIN EN.CITE <EndNote><Cite><Author>Ambrogio</Author><Year>2008</Year><RecNum>2077</RecNum><DisplayText>[7]</DisplayText><record><rec-number>2077</rec-number><foreign-keys><key app="EN" db-id="v9razzrwmtv29zeet5tvadzm9d5dffdd0s55" timestamp="1507232822">2077</key></foreign-keys><ref-type name="Journal Article">17</ref-type><contributors><authors><author>Ambrogio, Cristina</author><author>Koebnick, Jeffrey</author><author>Quan, Stuart F.</author><author>Ranieri, Marco</author><author>Parthasarathy, Sairam</author></authors></contributors><auth-address>Section of Pulmonary, Critical Care, and Sleep Medicine, Southern Arizona VA Health Care System, Tucson, AZ 85723, USA.</auth-address><titles><title>Assessment of sleep in ventilator-supported critically III patients</title><secondary-title>Sleep</secondary-title></titles><periodical><full-title>Sleep</full-title></periodical><pages>1559-1568</pages><volume>31</volume><number>11</number><dates><year>2008</year><pub-dates><date>2008/11</date></pub-dates></dates><isbn>0161-8105</isbn><urls><related-urls><url> Papers/A/Ambrogio et al. 2008 - Assessment of sleep in ventilator-supported critically III patients.pdf</url></pdf-urls></urls></record></Cite></EndNote>[7]observational14 critically ill pts (24 hr psg) and 17 control pts (8 hr psg). Mechanically ventilated compared to age-matched ambulatory controlsPSG R&K scoring vs. spectral analysisR&K reliability was poor (k= 0.19); if only divided into NREM, REM, wake (k=0.39)Sleep-wakefulness organization (k-0.51)Burst suppression – no pt experienced Spectral analysis – (K= 1.0) References ADDIN EN.REFLIST 1.Aurell J, Elmqvist D: Sleep in the surgical intensive care unit: continuous polygraphic recording of sleep in nine patients receiving postoperative care. Br Med J 1985, 290(6474):1029-1032.2.Fontaine DK: Measurement of nocturnal sleep patterns in trauma patients. Heart Lung 1989, 18(4):402-410.3.Edwards GB, Schuring LM: Pilot study: validating staff nurses' observations of sleep and wake states among critically ill patients, using polysomnography. Am J Crit Care 1993, 2(2):125-131.4.Beecroft JM, Ward M, Younes M, Crombach S, Smith O, Hanly PJ: Sleep monitoring in the intensive care unit: comparison of nurse assessment, actigraphy and polysomnography. Intensive Care Med 2008, 34(11):2076-2083.5.Elliott R, McKinley S, Cistulli P, Fien M: Characterisation of sleep in intensive care using 24-hour polysomnography: an observational study. Crit Care 2013, 17(2):R46.6.van der Kooi AW, Kappen TH, Raijmakers RJ, Zaal IJ, Slooter AJC: Temperature Variability during Delirium in ICU Patients: An Observational Study. PLoS One 2013, 8(10).7.Ambrogio C, Koebnick J, Quan SF, Ranieri M, Parthasarathy S: Assessment of sleep in ventilator-supported critically III patients. Sleep 2008, 31(11):1559-1568. ................
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