Sleep Disturbances and Quality of Life After Intensive Care
Author Information
Author(s): Lotti Orwelius, Anders Nordlund, Peter Nordlund, Ulla Edéll-Gustafsson, Folke Sjöberg
Primary Institution: Linköping University/Linköping University Hospital
Hypothesis
Hospitalised patients with an ICU stay have an affected sleep long after the intensive care period has ended, but it is the result of concurrent disease rather than ICU-related factors.
Conclusion
Sleep disturbances are common after critical care, with little change in quality of sleep patterns over time, primarily influenced by concurrent diseases.
Supporting Evidence
- Patients reported significantly more sleep disturbances than the reference group.
- Concurrent disease was the main factor affecting sleep in ICU patients.
- There was little change in sleep quality from before to after ICU stay.
Takeaway
People who stay in the ICU often have trouble sleeping even after they leave, and this is mostly because of other health problems they have, not because of their time in the ICU.
Methodology
The study included 1,625 patients admitted to ICUs, with evaluations of sleep disturbances and health-related quality of life at 6 and 12 months post-discharge.
Potential Biases
There is a risk of recall bias and a significant loss to follow-up, which may affect the results.
Limitations
The study used a reference group from the general population, which may not fully represent the ICU population's characteristics.
Participant Demographics
The study group included 497 patients, with a mean age of 52.4 years, and a gender distribution of 274 males and 223 females.
Statistical Information
P-Value
p<0.01
Confidence Interval
95% CI for OR: 2.93 to 4.46 at 6 months; 2.93 to 4.47 at 12 months
Statistical Significance
p<0.01
Digital Object Identifier (DOI)
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