Half of the family members of critically ill patients experience excessive daytime sleepiness

Background Sleepiness and fatigue are commonly reported by family members of intensive care unit (ICU) patients. Sleep deprivation may result in cognitive deficits. Sleep deprivation and cognitive blunting have not been quantitatively assessed in this population. We sought to determine the proportio...

Full description

Saved in:
Bibliographic Details
Published in:Intensive care medicine 2014-08, Vol.40 (8), p.1124-1131
Main Authors: Verceles, Avelino C., Corwin, Douglas S., Afshar, Majid, Friedman, Eliot B., McCurdy, Michael T., Shanholtz, Carl, Oakjones, Karen, Zubrow, Marc T., Titus, Jennifer, Netzer, Giora
Format: Article
Language:English
Subjects:
Anesthesiology
Cognitive ability
Critical care
Critical Care Medicine
Critical Illness
Cross-Sectional Studies
Data Collection
Decision making
Emergency Medicine
Family
Female
Hospital patients
Hospitals
Humans
Intensive
Intensive care
Intensive Care Units
Male
Medical centers
Medical colleges
Medicine
Medicine & Public Health
Middle Aged
Original
Pain Medicine
Patients
Pediatrics
Pneumology/Respiratory System
Questionnaires
Sleep deprivation
Sleep Stages
Surveys
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Sleepiness and fatigue are commonly reported by family members of intensive care unit (ICU) patients. Sleep deprivation may result in cognitive deficits. Sleep deprivation and cognitive blunting have not been quantitatively assessed in this population. We sought to determine the proportion of family members of ICU patients that experience excessive daytime sleepiness, sleep-associated functional impairment, and cognitive blunting. Methods Multicenter, cross-sectional survey of family members of patients admitted to ICUs at the University of Maryland Medical Center, Johns Hopkins University Hospital, and Christiana Hospital. Family members of ICU patients were evaluated using the Epworth Sleepiness Scale, a validated survey assessing sleepiness in everyday situations (normal, less than 10); the Functional Outcomes of Sleep Questionnaire-10 (FOSQ-10), a questionnaire quantifying the impact of sleepiness on daily activities (normal, at least 17.9); and psychomotor vigilance testing, a test of cognitive function, in relation to sleep deprivation (normal mean reaction time less than 500 ms). Results A total of 225 family members were assessed. Of these, 50.2 % (113/225) had Epworth scores consistent with excessive daytime sleepiness. Those with sleepiness experienced greater impairment in performing daily activities by FOSQ-10 (15.6 ± 3.0 vs 17.4 ± 2.2, p  
ISSN:0342-4642
1432-1238
DOI:10.1007/s00134-014-3347-z