Sleep Disturbance after Hospitalization and Critical Illness: A Systematic Review

Altman, Marcus T; Knauert, Melissa P.; Pisani, Margaret A.

doi:10.1513/annalsats.201702-148sr

Cited by 169 publications

(151 citation statements)

References 69 publications

(172 reference statements)

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“…Few studies have rigorously evaluated the prevalence of sleep disruption after critical illness. A recent systematic review by Altman and colleagues reported on 22 studies examining sleep after hospital discharge in survivors of critical illness . Sleep disturbances were common, and despite improving over time, up to two‐thirds (61%) of patients still reported poor sleep at 6 months follow up .…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review by Altman and colleagues reported on 22 studies examining sleep after hospital discharge in survivors of critical illness . Sleep disturbances were common, and despite improving over time, up to two‐thirds (61%) of patients still reported poor sleep at 6 months follow up . Analysis of risk factors for sleep disturbances was conflicting; however, persistent sleep disturbances were frequently associated with post‐discharge psychological comorbidities and impaired quality of life.…”

Section: Discussionmentioning

confidence: 99%

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Sleep on the ward in intensive care unit survivors: a case series of polysomnography

Wilcox

Lim

Pinto

et al. 2018

Internal Medicine Journal

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Sleep on the ward in intensive care unit survivors: a case series of polysomnography

Wilcox

Lim

Pinto

et al. 2018

Internal Medicine Journal

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“…Sleep disturbance seems to be a prominent problem for ICU survivors in other recent research (194). Altman et al's review from 2017 (194) found severe sleep disturbance at approx. 3 months to be in the range of 34-64%, and in the range of 10-61% after 6 months.…”

Section: Other Symptoms In Icu Survivorsmentioning

confidence: 95%

Prevalence, Location, and Characteristics of Chronic Pain in Intensive Care Survivors

Langerud

Rustøen

Brunborg

et al. 2018

Pain Management Nursing

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“…In addition, sleep disturbance is another common problem for ICU survivors including insomnia, nightmares, and poor-quality sleep [20]. Psychiatric symptoms, such as trauma-related symptoms and depressive symptoms, were associated with a higher likelihood of post-ICU sleep disturbances [21].…”

Section: Introductionmentioning

confidence: 99%

Effect of an ICU diary on psychiatric disorders, quality of life, and sleep quality among adult cardiac surgical ICU survivors: a randomized controlled trial

et al. 2020

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Background: Although studies on the effectiveness of the use of ICU diaries on psychiatric disorders and quality of life have been published, the results still seem to be controversial. The study aimed to determine the effects of using an ICU diary on psychiatric disorders, sleep quality, and quality of life (QoL) in adult ICU survivors in China. Methods: One hundred and twenty-six patients who underwent a scheduled cardiac surgery and were expected to stay ≥ 24 h in ICU were randomized to two groups (63 in each group). The patients in the intervention group received the use of ICU diaries during the period of post-ICU follow-up, while the patients in the control group received usual care without ICU diaries. The primary outcome was significant PTSD symptoms (Chinese version of Impact of Event Scale-Revised, IES-R; total score ≥ 35 was defined as significant PTSD symptoms) and its severity in patients 3 months post-ICU. The secondary outcomes included memories of the ICU at 1 month, QoL (Medical Outcomes Study 36-item Short-Form, SF-36), sleep quality (Pittsburgh Sleep Quality Index Questionnaire, PSQI), anxiety, and depression symptoms (Hospital Anxiety and Depression Scale, HADS) at 3 months. Results: Eighty-five and 83 patients completed the follow-up interviews at 1 month and 3 months post-ICU, respectively. Significant PTSD symptoms were reported by 6 of 41 (14.63%) in the intervention group vs 9 of 42 (21.43%) in the control group (risk difference, − 9% [95% CI, − 2% to 21%], P = 0.10). There was no significant differences between groups in IES-R score, symptoms of intrusion, symptoms of avoidance, numbers of memories of feeling and delusional memories, SF-36 score and anxiety score (P > 0.05), while significant differences were found in symptom of hyperarousal score, numbers of factual memories and PSQI score (P < 0.05). No adverse effect was reported. Conclusions: Using an ICU diary is not useful for preventing PTSD symptoms and anxiety symptoms and preserving the quality of life of the patients at 3 months post-ICU, while it significantly improves the survivor's factual memory of ICU and sleep quality, and prevents the hyperarousal symptom.

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Sleep Disturbance after Hospitalization and Critical Illness: A Systematic Review

Abstract: Sleep disturbance is common in critically ill patients up to 12 months after hospital discharge. Both subjective and objective studies, however, suggest that sleep disturbance improves over time. More research is needed to understand and optimize sleep in recovery from critical illness.

Cited by 169 publications

References 69 publications

Sleep on the ward in intensive care unit survivors: a case series of polysomnography

Sleep on the ward in intensive care unit survivors: a case series of polysomnography

Prevalence, Location, and Characteristics of Chronic Pain in Intensive Care Survivors

Effect of an ICU diary on psychiatric disorders, quality of life, and sleep quality among adult cardiac surgical ICU survivors: a randomized controlled trial

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