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...

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Autores principales:	Chen Q, Peng Y, Lin Y, Li S, Huang X, Chen LW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	postoperative delirium intensive care unit atypical sleep cardiac surgery Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
Acceso en línea:	https://doaj.org/article/be54e5414add4a5b9886f34626345282
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spelling	oai:doaj.org-article:be54e5414add4a5b9886f346263452822021-12-02T12:34:07ZAtypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study1179-1608https://doaj.org/article/be54e5414add4a5b9886f346263452822020-12-01T00:00:00Zhttps://www.dovepress.com/atypical-sleep-and-postoperative-delirium-in-the-cardiothoracic-surgic-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Qiong 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 surgeryChen QPeng YLin YLi SHuang XChen LWDove Medical Pressarticlepostoperative deliriumintensive care unitatypical sleepcardiac surgeryPsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 12, Pp 1137-1144 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	postoperative delirium intensive care unit atypical sleep cardiac surgery Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495
spellingShingle	postoperative delirium intensive care unit atypical sleep cardiac surgery Psychiatry RC435-571 Neurophysiology and neuropsychology QP351-495 Chen Q Peng Y Lin Y Li S Huang X Chen LW Atypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study
description	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
format	article
author	Chen Q Peng Y Lin Y Li S Huang X Chen LW
author_facet	Chen Q Peng Y Lin Y Li S Huang X Chen LW
author_sort	Chen Q
title	Atypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study
title_short	Atypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study
title_full	Atypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study
title_fullStr	Atypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study
title_full_unstemmed	Atypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study
title_sort	atypical sleep and postoperative delirium in the cardiothoracic surgical intensive care unit: a pilot prospective study
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/be54e5414add4a5b9886f34626345282
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Atypical Sleep and Postoperative Delirium in the Cardiothoracic Surgical Intensive Care Unit: A Pilot Prospective Study

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