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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Clinical Impact Of Sleep Deprivation On Delirium In Critical Care |
| Authors Name: | N. Revathi , K. Sai Sriram , V. Vasanth Kumar |
| Unique Id: | IJSDR2006019 |
| Published In: | Volume 5 Issue 6, June-2020 |
| Abstract: | Sleep deprivation associated with delirium are conditions commonly reported in intensive care unit patients, characterized by sleep disruption, an increase in light sleep, decrease of slow wave sleep and rapid eye movement sleep. The most common types of delirium in this cohort patients are hypoactive and mixed-type of delirium which develops in 2-24 hours from admission. As per a study, delirium is known to develop due to an imbalance in the synthesis, release, and inactivation of some neurotransmitters, specifically by acetylcholine deficiency and dopamine activation. Delirium usually presents as a group of symptoms with an acute onset and a fluctuating course which have been categorized into cognitive and behavioral groups. This is a prospective observational cohort study conducted at Gleneagles Aware Global Hospitals, L.B Nagar, Hyderabad. for a study period of six months. 200 patients admitted with the hospitalization history of more than 24 hours in critical care units were enrolled as study population. Patient data collection form, contains the socio-demographic details of the patients and Observational study Informed Consent form was prepared for patients understanding for agreeing to participate in the study. The sleep deprivation and delirium assessment was done using CAM-ICU Worksheet and NEECHAM Confusion Scale. In this study, sleep being the major factor to affect the delirium development (at least once during their course of hospitalization) is clinically significant with P-value 0.031 when correlated. It is concluded that inadequate sleep (70.8%) patients are at higher risk of developing delirium in the ICUs, indicating ICU patients are at risk of developing delirium which is temporary within the ICU during the course of hospitalization (resolves with relevant patient orientated management). |
| Keywords: | Delirium, ICUS, sleep deprivation, prospective, observational, evidence based study, CAM-ICU, NEECHAM, intensive care unit, critical care, terminal care, REM, NREM, circadian rhythm. |
| Cite Article: | "Clinical Impact Of Sleep Deprivation On Delirium In Critical Care", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.5, Issue 6, page no.121 - 126, June-2020, Available :http://www.ijsdr.org/papers/IJSDR2006019.pdf |
| Downloads: | 000336851 |
| Publication Details: | Published Paper ID: IJSDR2006019 Registration ID:191910 Published In: Volume 5 Issue 6, June-2020 DOI (Digital Object Identifier): Page No: 121 - 126 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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