Sleep quality in survivors of critical illness

Alexopoulou, Christina; Bolaki, Maria; Akoumianaki, E; Erimaki, Sophia; Kondili, Eumorfia; Mitsias, Panayiotis; Georgopoulos, Dimitris

doi:10.1007/s11325-018-1701-z

Cited by 20 publications

(18 citation statements)

References 39 publications

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“…We agree with El-Khatib and Esquinas that the effect of critical illness on sleep may be underestimated since the patients were studied several days/weeks after intensive care unit (ICU) discharge [2]. Obviously, sleep at ICU discharge should be severely influenced by abnormalities in gas exchange (almost all patients need supplementary oxygen for some time after ICU discharge) and other ICU-related factors, making both the performance and interpretation of sleep studies problematic.…”

Section: To the Editorsupporting

confidence: 73%

“…Nevertheless, the main aim of our study was to investigate sleep quality in ICU survivors with normal or near normal blood gases. Our study clearly showed that this patient population suffers from significant sleep disruption and sleep-disordered breathing (SDB) of obstructive type, which improved slightly at 6 months [2]. We believe that these results point out that these patients need close follow-up and, possibly, diagnostic sleep procedures, both at hospital discharge and at least 6 months later.…”

Section: To the Editorsupporting

confidence: 51%

“…We would like to thank El-Khatib and Esquinas for their valuable comments regarding our paper [2] and for giving us the opportunity to clarify some important issues.…”

Section: To the Editormentioning

confidence: 99%

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Sleep quality in survivors of critical illness: practical shortcomings resolved

2018

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Section: To the Editorsupporting

confidence: 73%

Section: To the Editorsupporting

confidence: 51%

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Sleep quality in survivors of critical illness: practical shortcomings resolved

2018

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“…Secondly, it describes quality-of-life related to the survivor's health status. Lastly, areas not covered by PICS or SF-36/EQ-5D such as dysphagia 28 , joint contractions 29 , sleep disturbances 30 and personal nances 31 are included, all previously described problems after intensive care.…”

Section: Discussionmentioning

confidence: 99%

Long-term Health-related Quality of Life and Burden of Disease After Intensive Care: Development of a Patient-reported Outcome Measure.

Malmgren

Waldenström

Rylander

et al. 2020

Preprint

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BackgroundICU survivorship includes a diverse burden of disease. To understand the extent of the problems, the right issues must be identified, and the right questions need to be asked to the patients. Current follow-up instruments lack detailed questions in several areas relevant to survivors. Our aim was to identify health-related problems relevant and unique to ICU survivors, and to construct a comprehensive questionnaire able to address these issues.Methods Thirty-three ICU survivors were interviewed at least six months after ICU discharge. All types of everyday dysfunctions and disabilities were extracted and compiled into a questionnaire. The questionnaire was tested on ICU survivors and non-ICU treated subjects. Inclusion criteria for the ICU survivors were an ICU stay of at least 72 hours with the ICU discharge six months to three years prior to the study. The non-ICU treated subjects were obtained from the Swedish Population Register, matched for age and sex. Eligible participants received an invitation letter and were contacted by phone. If willing to participate, they were sent the questionnaire. ResultsAnalysis of the interviews yielded 238 questions in 13 domains: cognition, fatigue, physical health, pain, psychological health, activities of daily life, sleep, appetite and alcohol, sexual health, sensory functions, gastrointestinal, urinary tract and work life.In total, 395 of 518 ICU survivors and 197 of 231 non-ICU treated subjects returned a completed questionnaire, the response rate being 76.2% and 85.3% respectively. The two groups differed significantly in 16 of 25 comorbidities. ICU survivors differed in a majority of questions (p ≤ 0.05) compared to non-ICU treated subjects, distributed over all 13 domains. ConclusionsThis study describes the first step in developing a designated questionnaire for identification of health-related quality of life issues and long-term burden of disease after intensive care. A first version of the questionnaire was answered by 395 ICU survivors. The questionnaire could identify that they experience severe difficulties in a wide range of domains compared to non-ICU treated subjects.Trial registrationClinicalTrials.gov Ref# NCT 02767180

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“…To the Editor, We read with great interest the manuscript of Alexopoulou et al [1] in which the authors assessed sleep-disordered breathing (SDB) as well as sleep architecture in survivors of critical illness at 10 days and 6 months after hospital discharge. Also, the authors aimed to examine whether or not sleep abnormalities influenced the patients' quality of life.…”

Section: Ards Acute Respiratory Distress Syndrome Icumentioning

confidence: 99%