Quality sleep using earplugs in the intensive care unit: The QUIET pilot randomised controlled trial

Litton, E; Elliott, R; Ferrier, J; Webb, SAR

Quality sleep using earplugs in the intensive care unit: The QUIET pilot randomised controlled trial

Litton, E Elliott, R

Ferrier, J Webb, SAR

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Publication Type:: Journal Article
Citation:: Critical Care and Resuscitation, 2017, 19 (2), pp. 128 - 133
Issue Date:: 2017-01-01

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Field	Value	Language
dc.contributor.author	Litton, E	en_US
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126	en_US
dc.contributor.author	Ferrier, J	en_US
dc.contributor.author	Webb, SAR	en_US
dc.date.issued	2017-01-01	en_US
dc.identifier.citation	Critical Care and Resuscitation, 2017, 19 (2), pp. 128 - 133	en_US
dc.identifier.issn	1441-2772	en_US
dc.identifier.uri	http://hdl.handle.net/10453/125495
dc.description.abstract	© 2017, Australasian Medical Publishing co. All rights reserved. Objective: To assess the feasibility of a definitive, randomised controlled trial of earplugs as a noise-abatement strategy to improve sleep and reduce delirium in patients admitted to the intensive care unit. Design and setting: An open-label trial of 40 patients randomised in a 1:1 ratio to receive earplugs in addition to standard care, or standard care alone, conducted in a 10-bed ICU of a large, private hospital in Perth, Western Australia. Participants and intervention: Patients were eligible for participation if they were expected to be undergoing mechanical ventilation (MV) on admission to the ICU. Patients assigned to receive earplugs had earplugs placed on admission to the ICU and were offered earplug placement between 10 pm and 6 am for the first night in the ICU once they were extubated. Earplugs were not provided for patients assigned to standard care. Main outcome measure: The primary outcome of study feasibility was assessed using criteria for acceptability of the intervention and protocol compliance. Results: Of the 20 participants randomised to receive earplugs, 19 had earplugs placed within 6 hours of ICU admission, corresponding to 76% of the MV time (mean time with earplugs, 7.5 hours [SD, 5.3 hours]). Earplugs were placed for 18 of 20 participants during their first full night after extubation, corresponding to 78% of the total overnight time (mean time with earplugs, 6.2 hours [SD, 2.5 hours]). Conclusion: A definitive study of earplugs as a noise-abatement strategy for patients admitted to the ICU is feasible on the basis of participant acceptability of the intervention and protocol compliance.	en_US
dc.relation.ispartof	Critical Care and Resuscitation	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Delirium	en_US
dc.subject.mesh	Sleep Deprivation	en_US
dc.subject.mesh	Pilot Projects	en_US
dc.subject.mesh	Ear Protective Devices	en_US
dc.subject.mesh	Noise	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Intensive Care Units	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Patient Acceptance of Health Care	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Quality sleep using earplugs in the intensive care unit: The QUIET pilot randomised controlled trial	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	19	en_US
utslib.for	1103 Clinical Sciences	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
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	19	en_US

Abstract:

© 2017, Australasian Medical Publishing co. All rights reserved. Objective: To assess the feasibility of a definitive, randomised controlled trial of earplugs as a noise-abatement strategy to improve sleep and reduce delirium in patients admitted to the intensive care unit. Design and setting: An open-label trial of 40 patients randomised in a 1:1 ratio to receive earplugs in addition to standard care, or standard care alone, conducted in a 10-bed ICU of a large, private hospital in Perth, Western Australia. Participants and intervention: Patients were eligible for participation if they were expected to be undergoing mechanical ventilation (MV) on admission to the ICU. Patients assigned to receive earplugs had earplugs placed on admission to the ICU and were offered earplug placement between 10 pm and 6 am for the first night in the ICU once they were extubated. Earplugs were not provided for patients assigned to standard care. Main outcome measure: The primary outcome of study feasibility was assessed using criteria for acceptability of the intervention and protocol compliance. Results: Of the 20 participants randomised to receive earplugs, 19 had earplugs placed within 6 hours of ICU admission, corresponding to 76% of the MV time (mean time with earplugs, 7.5 hours [SD, 5.3 hours]). Earplugs were placed for 18 of 20 participants during their first full night after extubation, corresponding to 78% of the total overnight time (mean time with earplugs, 6.2 hours [SD, 2.5 hours]). Conclusion: A definitive study of earplugs as a noise-abatement strategy for patients admitted to the ICU is feasible on the basis of participant acceptability of the intervention and protocol compliance.

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http://hdl.handle.net/10453/125495