Sleep Investigation in Respirator Treated ICU Patients: the Importance of Intensive Environment

Vejle Hospital

Status: Completed

Conditions: Sleep

Treatments: Behavioral: protocol 'Quiet in the room'

Study type: Interventional

Funder types: Other

Identifiers

NCT01681043

S-20120001

Details and patient eligibility

About

Sleep investigation in respirator treated ICU patients: the importance of intensive environment.

Sleep disturbances in the ICU seem to lead to development of delirium, prolonged ICU stay and increased mortality.

The hypothesis of this study is: minimizing of disturbing factors in the ICU, such as noise, light, therapeutic and diagnostic procedures between 10 p.m. and 6 a.m. will improve sleep quality in respirator treated ICU patients.

Methods: randomized interventional study. 48-hour polysomnographic sleep measurement acc. AASM's standard in 46 awake respirator treated patients: 24 hours under ordinary circumstances and 24 hours under the protocol 'Quiet in the room' between 10 p.m. and 6 a.m. after randomization.

Enrollment: 19 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• awake and relevant respirator treated patients with expected 2 or more respirator dags

Exclusion criteria

• GCS < 11
• cerebral hemorrhage or infarction during the current hospitalization
• delirium
• inotropes and/or vasopressors

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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19 participants in 2 patient groups

24 hour PSG under ordinary conditions

No Intervention group

Description:

24 hour PSG in 46 patients under ordinary (routine) conditions

24 hours PSG under protocol 'Quiet in the room'

Active Comparator group

Description:

24 hour PSG in the same 46 patients with protocol 'Quiet in the room' from 10 p.m. til 6 a.m.

Treatment:

Behavioral: protocol 'Quiet in the room'