Prospective Randomized Study on the Effects of Improved Sleep Quality After Craniotomy on Melatonin Concentrations and Inflammatory Response in Neurosurgical Intensive Care Patients

Arık, Emine; Dolgun, Habibullah; Hanalıoğlu, Şahin; Şahin, Ömer Selçuk; Uçar, Fatma; Yazicioglu, Dilek; Doğan, İhsan; Yı́lmaz, Erdal

doi:10.1016/j.wneu.2020.05.017

Cited by 5 publications

(9 citation statements)

References 19 publications

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“…The search results are shown in Figure 1, according to PRISMA flow diagram. 10 Regarding the 13 studies included in the systematic review, 12 were RCTs, [17][18][19][20][21][22][23][24][25][26][27][28] and 1 was a quasi-experiment study. 29 The total number of participants was 580, ranging from 12 to 80 participants per study.…”

Section: Resultsmentioning

confidence: 99%

“…In other sources of bias, risk rating was high due to using an unusual sleep rating scale not validated in the studies by Borji et al 28 and Maturana et al 26 In the study conducted by Foreman et al, 20 this same domain received a high bias rating for using melatonin supplementation to improve sleep patterns in addition to non-pharmacological measures. The study by Arık et al 17 obtained the worst ratings in randomization sequence and allocation domains, using a 1:1 convenience sample, which could lead to selective results (Figure 2a). The study by Li et al, 29 as this is quasi-experimental, obtained a moderate risk of bias assessment by ROBINS I (Figure 2b).…”

Section: Risk Of Biasmentioning

confidence: 99%

“…Subjective sleep pattern assessment: Five studies, 17,19,21,22,24 with 204 subjects. These strategies were combined to improve sleep quality in critically ill patients, with one study also adding relaxing music use.…”

Section: Eye Mask and Earplug Use Versus Usual Routinementioning

confidence: 99%

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Dark nighttime interventions and sleep quality in intensive care unit patients: A systematic review and meta‐analysis

Higa

Böhme

Paschoa

et al. 2022

Nursing in Critical Care

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BackgroundSleep disturbances resulting from adverse clinical and environmental conditions are associated with unfavourable outcomes in critically ill patients.AimTo collect evidence on the effect of dark nighttime interventions on sleep quality and daytime sleepiness in intensive care unit (ICU) patients.Study DesignThe study followed the Preferred Reporting Items for Systematic reviews and Meta‐Analyses recommendations. This is a systematic review and meta‐analysis of experimental and quasi‐experimental studies, developed with adult patients admitted to ICUs and submitted to measures such as environmental brightness reduction, eye mask or blue light‐blocking glass use at night. Outcomes were subjective or objective sleep quality and excessive daytime sleepiness. Search was carried out in the PubMed/MEDLINE, Cochrane Library, Embase, Virtual Health Library, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and Scopus databases, using grey literature. Covidence software, Cochrane tools and Grading of Recommendations Assessment, Development and Evaluation were used, and a meta‐analysis was performed using RevMan software.ResultsThirteen articles were included in the systematic review and seven studies were included in the meta‐analysis. There were 3 trials with 175 participants regarding lighting reduction and environmental noise control versus the usual routine, 2 of these trials, with 96 patients, were compiled in meta‐analysis in which it was observed a significant statistical improvement in subjective sleep quality, mean difference (MD) of 11.89 points (0–100); 95% confidence interval (CI) 8.0–15.76, evidence set with moderate certainty, as well as this same intervention, reduced daytime sleepiness in 2 trials, 135 participants (standardized MD −0.63; 95% CI −0.98 to −0.28), with low certainty evidence. Eye masks versus usual routine, 2 trials, 126 participants, improved subjective sleep quality (MD of 10 points; 95% CI 7.97–12.03), with moderate certainty of evidence. Eye mask use combined with other therapies versus usual routine, 5 trials, 204 participants, improved subjective sleep quality in all studies, with low certainty of evidence. Objective sleep assessment was not improved with these interventions.ConclusionThis review shows some benefits of nighttime interventions on subjective sleep quality and excessive sleepiness, however, there is an urgent need to conduct better and more robust studies in this field.Relevance to Clinical Practiceapplying measures such as lighting reduction and eye mask use significantly improves sleep quality.

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Section: Resultsmentioning

confidence: 99%

Section: Risk Of Biasmentioning

confidence: 99%

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Dark nighttime interventions and sleep quality in intensive care unit patients: A systematic review and meta‐analysis

Higa

Böhme

Paschoa

et al. 2022

Nursing in Critical Care

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“…8 Huang et al 9 reported that the sleep quality of patients who underwent a glioma resection more than one year previously was worse than that of normal adults. Arık et al 7 found that patients in the neurosurgical intensive care unit who had received elective open-brain surgery experienced reduced sleep quality during the rst 3 postoperative days. In addition, patients who underwent a craniotomy for pineocytoma had disturbed sleep latency and duration during a follow-up of 10.7 to 52.1 months, compared with patients after lumbar discectomy.…”

Section: Discussionmentioning

confidence: 99%

“…6 Postoperative sleep deprivation is commonly underestimated and ignored by most physicians. 7 However, early recovery after craniotomy has been given new research attention, focused speci cally on the postoperative sleep of patients after neurosurgery. Studies thus far have concerned patients who underwent craniotomy for intracranial tumor resection and aneurysm clipping, [7][8][9][10] while information is quite limited regarding the sleep quality of patients with hemifacial spasm (HFS) after microvascular decompression (MVD) surgery.…”

Section: Introductionmentioning

confidence: 99%

Effects of analgesic and antiemetic treatment for postoperative nocturnal sleep deprivation in patients with hemifacial spasm: A prospective preliminary study

Shen

Lü

Qü

et al. 2022

Preprint

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Poor sleep combined with the stress of surgery negatively influences postoperative recovery. Thus far, information is quite limited regarding the sleep quality of patients with hemifacial spasm (HFS) after microvascular decompression (MVD) surgery. This study aimed to investigate the prevalence and causal factors of postoperative nocturnal sleep deprivation (PONSD) in patients with HFS after MVD surgery, and to assess the therapeutic effect of interventions targeted to the main causal factors. Thirty patients with HFS (control group) were interviewed. Data were collected on the self-reported night sleep quality and main causal factors of PONSD after MVD surgery. A separate intervention group of 18 patients with HFS received treatment after MVD surgery that was targeted to these causal factors, and the therapeutic effects were assessed. The main causes of PONSD for patients in the control group were pain, nausea, and emesis. An analgesic and antiemetic treatment reduced fragmented sleep, but also reduced effective sleep. For patients with HFS, the main causes of nocturnal sleep deprivation after MVD surgery were pain, nausea, and emesis, related to the effects of surgery. Analgesic and antiemetic treatment did not satisfactorily improve the quality of sleep for these patient.

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Sleep assessment in critically ill adults: A systematic review and meta-analysis

Kakar

Priester

Wessels

et al. 2022

Journal of Critical Care

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Prospective Randomized Study on the Effects of Improved Sleep Quality After Craniotomy on Melatonin Concentrations and Inflammatory Response in Neurosurgical Intensive Care Patients

Cited by 5 publications

References 19 publications

Dark nighttime interventions and sleep quality in intensive care unit patients: A systematic review and meta‐analysis

Dark nighttime interventions and sleep quality in intensive care unit patients: A systematic review and meta‐analysis

Effects of analgesic and antiemetic treatment for postoperative nocturnal sleep deprivation in patients with hemifacial spasm: A prospective preliminary study

Sleep assessment in critically ill adults: A systematic review and meta-analysis

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