The Impact of Interventions to Improve Sleep on Delirium in the ICU: A Systematic Review and Research Framework*

@article{Flannery2016TheIO,
  title={The Impact of Interventions to Improve Sleep on Delirium in the ICU: A Systematic Review and Research Framework*},
  author={Alexander H. Flannery and Douglas R. Oyler and Gerald L. Weinhouse},
  journal={Critical Care Medicine},
  year={2016},
  volume={44},
  pages={2231–2240}
}
Objective :This study aimed to assess whether interventions targeted at improving sleep in the ICU were associated with reductions in ICU delirium. Secondary outcomes include duration of delirium and ICU length of stay. Data Sources:MEDLINE, CINAHL, Web of Science, Scopus, WorldCat, and International Pharmaceutical Abstracts were searched from inception to January 2016. Study Selection:Studies investigating any type of sleep intervention (nonpharmacologic or pharmacologic) and assessing the… Expand
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The evidence for the use of pharmacological interventions for prevention or management of delirium is poor or sparse and a systematic review with low risk of bias is urgently needed. Expand
The effect of a quality improvement intervention on sleep and delirium in critically ill patients in a surgical intensive care unit.
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The authors' multicomponent intervention was associated with a significant reduction in the proportion of days patients experienced delirium, reinforcing the feasibility and effectiveness of a non-pharmacological sleep-wake bundle to reduceDelirium in critically ill patients in the SICU. Expand
Sleep and Delirium in Older Adults
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This review highlights current research on poor sleep and delirium, their inter-relationship, modes of measurement, and current approaches to management, and concludes that Bundled non-pharmacologic approaches represent a promising framework for prevention and management. Expand
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The Effect of Foot Reflexology Massage on Delirium and Sleep Quality Following Cardiac Surgery: A Randomized Clinical Trial.
TLDR
Foot reflexology was not effective in reducing delirium and improving the sleep quality, but the pain intensity was decreased, and it seems that the precise pathology and predicting model ofDelirium should be identified, and appropriate interventions should be planned accordingly. Expand
Impact of sleep alterations on weaning duration in mechanically ventilated patients: a prospective study
TLDR
It is suggested for the first time that brain dysfunction may have an influence on the ability to breathe spontaneously in intensive care unit patients under mechanical ventilation with altered sleep. Expand
The effect of evidence-based cluster nursing intervention on the incidences of delirium and the prognoses of ICU patients.
TLDR
Evidence-based cluster nursing intervention can conspicuously reduce the incidences of delirium, shorten the durations of the mechanical ventilation and the ICU stays, and improve patient prognosis, so it is worthy of clinical application. Expand
Delirium in Cardiac Intensive Care Unit
TLDR
Non-pharmacological measures such as avoiding delirium-risk medications, early physical rehabilitation, occupational therapy, and sleep improvement strategies have shown significant benefits in decreasing delirio, but pharmaceutical options are limited for use in CICU. Expand
The Life Course Health Development Model: A theoretical research framework for paediatric delirium.
TLDR
The Life Course Health Development Model depicts a process in which the acute and severe stress of critical illness leads to maladaptive neurologic changes that contribute to the development of delirium and impair a child's life trajectory. Expand
Providing Evidence-Based Care, Day and Night: A Quality Improvement Initiative to Improve Intensive Care Unit Patient Sleep Quality.
TLDR
The intervention of a nursing morning report protocol and sleep posters did not improve the quality of ICU patient sleep in this study, and root cause-analysis identified nurse stigma as the most prominent sleep barriers. Expand
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References

SHOWING 1-10 OF 64 REFERENCES
Delirium Transitions in the Medical ICU: Exploring the Role of Sleep Quality and Other Factors*
TLDR
Infusion of benzodiazepine and/or opioid medications was strongly associated with transition to delirium in the ICU in mechanically ventilated patients and is an important, modifiable risk factor for deliria in critically ill patients. Expand
The Effect of a Quality Improvement Intervention on Perceived Sleep Quality and Cognition in a Medical ICU*
TLDR
An ICU-wide quality improvement intervention to improve sleep anddelirium is feasible and associated with significant improvements in perceived nighttime noise, incidence of delirium/coma, and daily delirio-coma-free status. Expand
Delirium prevention program in the surgical intensive care unit improved the outcomes of older adults.
TLDR
This study successfully decreased the duration of delirium for older adults admitted to the SICU with a simple, cost-effective program that led to improved pain and sedation outcomes. Expand
A Pilot Study to Test the Feasibility of a Nonpharmacologic Intervention for the Prevention of Delirium in the Medical Intensive Care Unit
TLDR
A multicomponent prevention protocol consisting of sedation cessation, sleep-wake cycles, sensory stimulation, mobility, and music tested for prevention of delirium found little difference before and after intervention. Expand
Intensive Care Delirium Screening Checklist: evaluation of a new screening tool
TLDR
The Intensive Care Delirium Screening Checklist can easily be applied by a clinician or a nurse in a busy critical care setting to screen all patients even when communication is compromised, and helps to identify delirious patients. Expand
Days of delirium are associated with 1-year mortality in an older intensive care unit population.
TLDR
Investigations should be undertaken to reduce the number of days of ICU delirium and to study the impact of this reduction on important health outcomes, including mortality and functional and cognitive status. Expand
A meta-analysis of sleep-promoting interventions during critical illness.
TLDR
The synthesized evidence suggests that both mechanical ventilation- and nonmechanical ventilation-based therapies improve sleep quantity and quality in critically ill patients, but the clinical significance is unclear. Expand
Randomized ICU Trials Do Not Demonstrate an Association Between Interventions That Reduce Delirium Duration and Short-Term Mortality: A Systematic Review and Meta-Analysis*
TLDR
A review of current evidence fails to support that ICU interventions that reduce delirium duration reduce short-term mortality, and meta-regression revealed that delIRium duration was not associated with reduced short- term mortality. Expand
Effects of routine monitoring of delirium in a surgical/trauma intensive care unit
TLDR
Daily screening for delirium did not affect the timing of pharmacologic therapy and although the intervention resulted in a higher number of delirious ICU patients being treated, particularly trauma patients, there was no effect on related outcomes. Expand
Bench-to-bedside review: Delirium in ICU patients - importance of sleep deprivation
TLDR
Sleep deprivation may prove to be a modifiable risk factor for the development of delirium with important implications for the acute and long-term outcome of critically ill patients. Expand
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