Sleep during and after cardiothoracic intensive care and psychological health during recovery

Caruana, N; McKinley, SH; Elliott, R; Gholizadeh, L

Sleep during and after cardiothoracic intensive care and psychological health during recovery

Caruana, N McKinley, SH Elliott, R

Gholizadeh, L

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Australian Critical Care, 2017, 30 (2), pp. 109 - 135 (6)
Issue Date:: 2017-03-15

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Field	Value	Language
dc.contributor.author	Caruana, N	en_US
dc.contributor.author	McKinley, SH	en_US
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126	en_US
dc.contributor.author	Gholizadeh, L https://orcid.org/0000-0002-6711-3312	en_US
dc.date.available	2020-05-25T19:07:00Z
dc.date.issued	2017-03-15	en_US
dc.identifier.citation	Australian Critical Care, 2017, 30 (2), pp. 109 - 135 (6)	en_US
dc.identifier.issn	1036-7314	en_US
dc.identifier.uri	http://hdl.handle.net/10453/119610
dc.description.abstract	Intensive care patients and former ICU patients experience poor sleep quality. Psychological distress and diminished health-related quality of life are common among former ICU patients. Coronary artery bypass graft (CABG) surgery is the main reason for adults being admitted to ICU in Australia but the effect of on-pump vs off-pump surgery on sleep and recovery has not been reported. The aim was to assess self-reported sleep quality of CABG patients during and after ICU, psychological wellbeing, HRQOL during recovery and whether on-pump vs off-pump method of surgery affects sleep and recovery. Patients who underwent CABG surgery completed self-report questionnaires on sleep quality, psychological health and quality of life using validated instruments. Data collection occurred in ICU, on the hospital ward, and two months and six months after hospital discharge. Patients (n=101) were aged (mean±SD) 66.6±11.1 years, 79% male and had a median ICU stay (IQR) of 2 (2-4) days, BMI 27.3±4.3 and on-pump surgery (75%). Poor sleep was reported by 44 (62%) patients at six months and by 12 patients (12%) at all time points. Patients who had off-pump surgery had lower posttraumatic stress symptoms (p=.02) and better physical HRQOL (p=.01). In multivariate analysis, prehospital insomnia (P=.004), and physical (p<.0005) and mental p<.0005) HRQOL were independently associated with sleep quality at six months. There was no association between on-pump vs off-pump CABG surgical techniques and sleep quality at six months. Sleep quality of postoperative CABG patients was poor in ICU, in the hospital ward and up to six months. Poor sleep quality at six months was associated with prehospital insomnia, and physical and mental HRQOL at six months, but not with on-pump vs off-pump surgical techniques.	en_US
dc.publisher	Elsevier	en_US
dc.relation.ispartof	Australian Critical Care	en_US
dc.relation.isbasedon	10.1016/j.aucc.2017.02.004	en_US
dc.relation.isreplacedby	10453/127969
dc.relation.isreplacedby	http://hdl.handle.net/10453/127969
dc.rights	Elsevier required licence: © 2017 . This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. The definitive publisher version is available online at https://doi.org/10.1016/j.aucc.2017.02.004	en_US
dc.subject.classification	Nursing	en_US
dc.title	Sleep during and after cardiothoracic intensive care and psychological health during recovery	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	30	en_US
utslib.location.activity	Pert, Australia	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.declined	2017-11-02T10:13:15.536+1100
pubs.consider-herdc	true	en_US
pubs.merge-to	10453/127969
pubs.merge-to	http://hdl.handle.net/10453/127969
pubs.deleted	2017-11-02T10:13:15.536+1100
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	30	en_US

Abstract:

Intensive care patients and former ICU patients experience poor sleep quality. Psychological distress and diminished health-related quality of life are common among former ICU patients. Coronary artery bypass graft (CABG) surgery is the main reason for adults being admitted to ICU in Australia but the effect of on-pump vs off-pump surgery on sleep and recovery has not been reported. The aim was to assess self-reported sleep quality of CABG patients during and after ICU, psychological wellbeing, HRQOL during recovery and whether on-pump vs off-pump method of surgery affects sleep and recovery. Patients who underwent CABG surgery completed self-report questionnaires on sleep quality, psychological health and quality of life using validated instruments. Data collection occurred in ICU, on the hospital ward, and two months and six months after hospital discharge. Patients (n=101) were aged (mean±SD) 66.6±11.1 years, 79% male and had a median ICU stay (IQR) of 2 (2-4) days, BMI 27.3±4.3 and on-pump surgery (75%). Poor sleep was reported by 44 (62%) patients at six months and by 12 patients (12%) at all time points. Patients who had off-pump surgery had lower posttraumatic stress symptoms (p=.02) and better physical HRQOL (p=.01). In multivariate analysis, prehospital insomnia (P=.004), and physical (p<.0005) and mental p<.0005) HRQOL were independently associated with sleep quality at six months. There was no association between on-pump vs off-pump CABG surgical techniques and sleep quality at six months. Sleep quality of postoperative CABG patients was poor in ICU, in the hospital ward and up to six months. Poor sleep quality at six months was associated with prehospital insomnia, and physical and mental HRQOL at six months, but not with on-pump vs off-pump surgical techniques.

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http://hdl.handle.net/10453/119610