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Patients in intensive care have less sleep and are highly fragmented, which can adversely affect the patient's recovery.
challenge for intensive care clinicians today is the lack of clear and accurate sleep assessment methods for widespread use.
recently, a research paper published in Critical Care, an authoritative journal in critical care medicine, aims to explore the feasibility and reliability of minimally invasive sleep monitoring techniques compared to multi-guide sleep tracing devices.
the prospective observational study monitored the sleep of patients with minimal sedation using a 24-hour multi-guided sleep tracing and motion recorder to assess consistency, total sleep time, and wakefulness time for both methods.
recruited 80 patients in intensive care units who received mechanical breathing (24 percent) and who did not have mechanical breathing (76 percent).
sleep is found to be highly fragmented, consisting of numerous sleep seizures and characterized by abnormal sleep structures.
In the recognition of sleep and wake-up status by the multi-guide sleep recorder, the overall consistency of the results of the motion recorder and the multi-guide sleep recorder reached a moderate level (69.4%;
in patients who did not have mechanical aeration, the accuracy of monitoring by the motion recorder was significantly improved (83.7 per cent specificity; 56.7 per cent sensitivity).
body movement recorder was moderately associated with the total sleep time reported by the multi-guide sleep tracing (r=0.359, p-lt;0.05) and the degree of sobriety (r=0.371, p=lt;0.05).
's Bland-Altman chart shows that motion recorders underestimate sleep and overestimate wakefulness.
It can be seen that in distinguishing between sleep and wakefulness, the motion recorder and the multi-guide sleep tracer have a certain consistency, and the use of convenient, safe, may be a reasonable choice to detect the sleep of patients in intensive care.
