Crit Care Med: Risk Factors for Severe Adult Sleep Disorders

Studies have described many risk factors for sleep disorders in critically ill adultsIn a recent study published in Critical Care Medicine, an authoritative journal of critical care medicine, researchers systematically assessed all risk factors associated with sleep disorders in ICU patientsresearchers searched the PubMed, EMBASE, CINAHL, Web of Science, Cochrane Control Pilot Center Registration and Cochrane System Evaluation Database to identify English-language studies published between 1990 and April 2018 that assessed sleep in 10 or more severely ill adults and investigated at least one potential risk factor for sleep disorders during ICU hospitalizationThe researchers used the Newcastle-Ottawa Scale or Cochrane Bias Risk Tool to assess the quality of the studyThe researchers extracted all the data independently and repeatedlyAccording to the data reporting method, the potential ICU sleep disorder risk factors were divided into three categories: 1) patients reported the cause of sleep disorders;in 5,148 citations, the researchers included 62 studiesPain, discomfort, anxiety/fear, noise, light, and ICU care-related activities are the most common and widely studied factors reported in patients that are responsible for sleep disordersPatients see noise and light as the most common factors that disrupt sleepThe increase in the number of comorbidities, poor sleep quality in the home, and the use of family sleep aids and delirium are the factors associated with sleep disorders found in existing studiesthus, the system evaluates and summarizes all pre-existing, disease-related and ICU-related factors associated with sleep disorders in PATIENTs with ICUThese findings will help improve sleep in PATIENTs with ICU