Long-Term Outcomes: Sleep in Survivors of Critical Illness

McKinley, S; Elliott, R; Stedman, W; Pilowsky, J

Long-Term Outcomes: Sleep in Survivors of Critical Illness

McKinley, S Elliott, R Stedman, W Pilowsky, J

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Publisher:: Springer Nature
Publication Type:: Chapter
Citation:: Sleep in Critical Illness Physiology, Assessment, and Its Importance to ICU Care, 2022, pp. 191-209
Issue Date:: 2022-08-31

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Field	Value	Language
dc.contributor.author	McKinley, S
dc.contributor.author	Elliott, R
dc.contributor.author	Stedman, W
dc.contributor.author	Pilowsky, J
dc.date.accessioned	2023-06-29T04:34:16Z
dc.date.available	2023-06-29T04:34:16Z
dc.date.issued	2022-08-31
dc.identifier.citation	Sleep in Critical Illness Physiology, Assessment, and Its Importance to ICU Care, 2022, pp. 191-209
dc.identifier.isbn	978-3-031-06446-3
dc.identifier.uri	http://hdl.handle.net/10453/170991
dc.description.abstract	Critical care survivors frequently experience cognitive, physical, and psychological sequelae (often labelled post-intensive care syndrome) that affect their wellbeing and quality of life. Sleep disturbances frequently occur during and after an ICU admission and affect these important components of ICU survivorship. Insomnia, sleep fragmentation and circadian abnormalities worsen ICU physical, cognitive, and psychological recovery. Recovery from critical illness requires holistic attention including an adequate quantity and quality of sleep. Sleep abnormalities during and after ICU admission occur in up to 60% of ICU survivors. Sleep after hospitalization may be assessed objectively (actigraphy or polysomnography) but most often using patients’ self-reported sleep quality. Sleep during the post-ICU recovery period may be related to concurrent disease and insomnia, severity of illness and sleep disturbances in the ICU, and health-related quality of life, pain and mental health symptoms during recovery. Associations between disrupted sleep and ICU survivors’ outcomes are likely bidirectional. Effective strategies for sleep promotion during the ICU recovery period include seeing the general practitioner, referral to a sleep specialist, advice on sleep hygiene practices and use of cognitive behavioural therapy for insomnia. Future research is required to investigate the causes of sleep disruption after critical illness and interventions to ameliorate sleep disturbance.
dc.format.extent	17
dc.language	en
dc.publisher	Springer Nature
dc.relation.ispartof	Sleep in Critical Illness Physiology, Assessment, and Its Importance to ICU Care
dc.relation.isbasedon	10.1007/978-3-031-06447-0_12
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.title	Long-Term Outcomes: Sleep in Survivors of Critical Illness
dc.type	Chapter
utslib.copyright.status	recently_added	*
pubs.consider-herdc	false
dc.date.updated	2023-06-29T04:34:15Z
pubs.place-of-publication	Switzerland
pubs.publication-status	Published
dc.location	Switzerland

Abstract:

Critical care survivors frequently experience cognitive, physical, and psychological sequelae (often labelled post-intensive care syndrome) that affect their wellbeing and quality of life. Sleep disturbances frequently occur during and after an ICU admission and affect these important components of ICU survivorship. Insomnia, sleep fragmentation and circadian abnormalities worsen ICU physical, cognitive, and psychological recovery. Recovery from critical illness requires holistic attention including an adequate quantity and quality of sleep. Sleep abnormalities during and after ICU admission occur in up to 60% of ICU survivors. Sleep after hospitalization may be assessed objectively (actigraphy or polysomnography) but most often using patients’ self-reported sleep quality. Sleep during the post-ICU recovery period may be related to concurrent disease and insomnia, severity of illness and sleep disturbances in the ICU, and health-related quality of life, pain and mental health symptoms during recovery. Associations between disrupted sleep and ICU survivors’ outcomes are likely bidirectional. Effective strategies for sleep promotion during the ICU recovery period include seeing the general practitioner, referral to a sleep specialist, advice on sleep hygiene practices and use of cognitive behavioural therapy for insomnia. Future research is required to investigate the causes of sleep disruption after critical illness and interventions to ameliorate sleep disturbance.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/170991