The feasibility and reliability of actigraphy to monitor sleep in intensive care patients: an observational study
| العنوان: | The feasibility and reliability of actigraphy to monitor sleep in intensive care patients: an observational study |
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| المؤلفون: | V. Lopez, K. L. Melehan, Hsin-Chia Carol Huang, F. M. P. van Haren, Edward Litton, Lori Delaney |
| المصدر: | Critical Care, Vol 25, Iss 1, Pp 1-12 (2021) Critical Care |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Polysomnography, Sleep disturbance, Critical Care and Intensive Care Medicine, law.invention, 03 medical and health sciences, 0302 clinical medicine, law, Intensive care, medicine, Humans, Prospective Studies, Aged, Sleep disorder, medicine.diagnostic_test, business.industry, Research, Gold standard, lcsh:Medical emergencies. Critical care. Intensive care. First aid, Reproducibility of Results, 030208 emergency & critical care medicine, Actigraphy, lcsh:RC86-88.9, Middle Aged, Sleep quality, medicine.disease, Intensive care unit, Intensive Care Units, Physical therapy, Feasibility Studies, Female, Observational study, Sleep (system call), business, Sleep, psychological phenomena and processes, 030217 neurology & neurosurgery |
| الوصف: | Background Sleep amongst intensive care patients is reduced and highly fragmented which may adversely impact on recovery. The current challenge for Intensive Care clinicians is identifying feasible and accurate assessments of sleep that can be widely implemented. The objective of this study was to investigate the feasibility and reliability of a minimally invasive sleep monitoring technique compared to the gold standard, polysomnography, for sleep monitoring. Methods Prospective observational study employing a within subject design in adult patients admitted to an Intensive Care Unit. Sleep monitoring was undertaken amongst minimally sedated patients via concurrent polysomnography and actigraphy monitoring over a 24-h duration to assess agreement between the two methods; total sleep time and wake time. Results We recruited 80 patients who were mechanically ventilated (24%) and non-ventilated (76%) within the intensive care unit. Sleep was found to be highly fragmented, composed of numerous sleep bouts and characterized by abnormal sleep architecture. Actigraphy was found to have a moderate level of overall agreement in identifying sleep and wake states with polysomnography (69.4%; K = 0.386, p r = 0.359, p r = 0.371, p Conclusions Actigraphy was easy and safe to use, provided moderate level of agreement with polysomnography in distinguishing between sleep and wakeful states, and may be a reasonable alternative to measure sleep in intensive care patients. Clinical Trial Registration number ACTRN12615000945527 (Registered 9/9/2015). |
| اللغة: | English |
| تدمد: | 1364-8535 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::61625ac4ca55f07e3bf0d4b198babb25Test https://doaj.org/article/5efd2d79c77a4f7eae0a396978b6772eTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....61625ac4ca55f07e3bf0d4b198babb25 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13648535 |
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