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ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016
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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: 000201506
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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