Atypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study
Qiong Chen,1 Yanchun Peng,2 Yanjuan Lin,3 Sailan Li,2 Xizhen Huang,2 Liang-Wan Chen2 1Department of Nursing, Fujian Medical University, Fuzhou, Fujian, People’s Republic of China; 2Department of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, People’s...
Guardado en:
| Autores principales: | , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Dove Medical Press
2020
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/be54e5414add4a5b9886f34626345282 |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| Sumario: | Qiong Chen,1 Yanchun Peng,2 Yanjuan Lin,3 Sailan Li,2 Xizhen Huang,2 Liang-Wan Chen2 1Department of Nursing, Fujian Medical University, Fuzhou, Fujian, People’s Republic of China; 2Department of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian, People’s Republic of China; 3Department of Nursing, Union Hospital, Fujian Medical University, Fuzhou, Fujian, People’s Republic of ChinaCorrespondence: Yanjuan LinDepartment of Nursing, Union Hospital, Fujian Medical University, No. 29 Xinquan Road, Fuzhou, 350001 Fujian Province, People’s Republic of ChinaTel +86 59186218581Fax +86 83344034Email fjxhyjl@163.comLiang-Wan ChenDepartment of Cardiac Surgery, Union Hospital, Fujian Medical University, Fuzhou, Fujian 350001, People’s Republic of ChinaTel +86 59186218581Fax +86 59183301393Email chenliangwan@tom.comPurpose: Postoperative delirium (POD) is a very common and serious neurological complication in patients admitted to the cardiothoracic surgical intensive care unit (CSICU). We aimed to identify a novel potential sleep-based marker for POD and investigate the relevance between atypical sleep and POD.Patients and Methods: This was a prospective, observational study of patients admitted to the CSICU between December 2019 and February 2020 at our center. Sleep characteristics from 21:00 on postoperative day 1 to 07:00 on postoperative day 2 were assessed using polysomnography (PSG). POD from the end of PSG monitoring until postoperative day 5 was evaluated using the Confusion Assessment Method for the Intensive Care Unit.Results: This analysis included 20 patients admitted to the CSICU. The incidence of atypical sleep was 45.0%. Compared to patients without delirium, those with delirium had less delta power, less percentage REM sleep, and a higher proportion of atypical sleep and REM sleep loss (P < 0.05).Conclusion: The presence of atypical sleep and the absence of REM sleep were associated with POD in patients admitted to the CSICU.Keywords: postoperative delirium, intensive care unit, atypical sleep, cardiac surgery |
|---|