Intensive Care Unit (ICU) Sleep Quality and Neurocognitive Performance



Status:Archived
Conditions:Insomnia Sleep Studies, Psychiatric
Therapuetic Areas:Psychiatry / Psychology
Healthy:No
Age Range:Any
Updated:7/1/2011
Start Date:January 2010
End Date:December 2011

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Post-ICU Neurocognitive Performance and Sleep Quality Ratings Following Exposure to a Medical ICU Sleep Quality Improvement Project


The purpose of this study is to understand patients' neurocognitive performance shortly
after discharge from the Medical Intensive Care Unit (MICU) and the potential effect of
sleep quality in the MICU on those neurocognitive outcomes. The investigators hypothesize
that post-ICU neurocognitive function and patient overall ICU sleep experience will improve
through a pre-existing MICU sleep improvement initiative.


Despite decades of scientific interest in evaluating sleep among critically ill patients,
little is known about the effects of intensive care unit (ICU)-associated sleep disturbances
on patient outcomes. Furthermore, few interventions have been rigorously evaluated to
demonstrate efficacy in improving sleep in the ICU and associated patient outcomes. Post-ICU
neurocognitive test performance data from this study will be linked to a pre-existing
Quality Improvement (QI) project for patient sleep in the MICU. We hypothesize that
patients' post-ICU neurocognitive performance (delirium status, attention, short-term
memory, processing speed, and executive function) will positively correlate with scores from
a previously-published Sleep in the Intensive Care Unit Questionnaire. In addition, we
hypothesize that both neurocognitive performance and the Sleep in the Intensive Care Unit
Questionnaire will improve during the multi-stage MICU-wide sleep QI project. Our project
will provide valuable empirical evidence to help support guidelines for promoting sleep in
the ICU setting.


We found this trial at
1
site
1800 Orleans St
Baltimore, Maryland 21287
(410) 955-5000
Johns Hopkins Hosp From the 1889 opening of The Johns Hopkins Hospital, to the opening...
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mi
from
Baltimore, MD
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