Cargando…

Factors Associated with and Prognosis Impact of Perceived Sleep Quality and Estimated Quantity in Patients Receiving Non-Invasive Ventilation for Acute Respiratory Failure

Background. The objectives of this study were (1) to determine factors associated with impaired sleep and (2) to evaluate the relationship between impaired sleep and the outcome. Methods. Secondary analysis of a prospective observational cohort study in 54 intensive care units in France and Belgium....

Descripción completa

Detalles Bibliográficos
Autores principales: Lê Dinh, Matthieu, Darmon, Michael, Kouatchet, Achille, Jaber, Samir, Meziani, Ferhat, Perbet, Sebastien, Chanques, Gerald, Azoulay, Elie, Demoule, Alexandre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9369912/
https://www.ncbi.nlm.nih.gov/pubmed/35956237
http://dx.doi.org/10.3390/jcm11154620
_version_ 1784766623895257088
author Lê Dinh, Matthieu
Darmon, Michael
Kouatchet, Achille
Jaber, Samir
Meziani, Ferhat
Perbet, Sebastien
Chanques, Gerald
Azoulay, Elie
Demoule, Alexandre
author_facet Lê Dinh, Matthieu
Darmon, Michael
Kouatchet, Achille
Jaber, Samir
Meziani, Ferhat
Perbet, Sebastien
Chanques, Gerald
Azoulay, Elie
Demoule, Alexandre
author_sort Lê Dinh, Matthieu
collection PubMed
description Background. The objectives of this study were (1) to determine factors associated with impaired sleep and (2) to evaluate the relationship between impaired sleep and the outcome. Methods. Secondary analysis of a prospective observational cohort study in 54 intensive care units in France and Belgium. Sleep quality was quantified by the patients with a semi-quantitative scale. Results. Among the 389 patients included, 40% reported poor sleep during the first night in the ICU and the median (interquartile) total sleep time was 4 h (2–5). Factors independently associated with poor sleep quality were the SOFA score (odds ratio [OR] 0.90, p = 0.037), anxiety (OR 0.43, p = 0.001) and the presence of air leaks (OR 0.52, p = 0.013). Factors independently associated with short-estimated sleep duration (<4 h) were the SOFA score (1.13, p = 0.005), dyspnea on admission (1.13, p = 0.031) and the presence of air leaks (1.92, p = 0.008). Non-invasive ventilation failure was independently associated with poor sleep quality (OR 3.02, p = 0.021) and short sleep duration (OR 0.77, p = 0.001). Sleep quality and duration were not associated with an increase in mortality or length of stay. Conclusions. The sleep of patients with ARF requiring NIV is impaired and is associated with a high rate of NIV failure.
format Online
Article
Text
id pubmed-9369912
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-93699122022-08-12 Factors Associated with and Prognosis Impact of Perceived Sleep Quality and Estimated Quantity in Patients Receiving Non-Invasive Ventilation for Acute Respiratory Failure Lê Dinh, Matthieu Darmon, Michael Kouatchet, Achille Jaber, Samir Meziani, Ferhat Perbet, Sebastien Chanques, Gerald Azoulay, Elie Demoule, Alexandre J Clin Med Article Background. The objectives of this study were (1) to determine factors associated with impaired sleep and (2) to evaluate the relationship between impaired sleep and the outcome. Methods. Secondary analysis of a prospective observational cohort study in 54 intensive care units in France and Belgium. Sleep quality was quantified by the patients with a semi-quantitative scale. Results. Among the 389 patients included, 40% reported poor sleep during the first night in the ICU and the median (interquartile) total sleep time was 4 h (2–5). Factors independently associated with poor sleep quality were the SOFA score (odds ratio [OR] 0.90, p = 0.037), anxiety (OR 0.43, p = 0.001) and the presence of air leaks (OR 0.52, p = 0.013). Factors independently associated with short-estimated sleep duration (<4 h) were the SOFA score (1.13, p = 0.005), dyspnea on admission (1.13, p = 0.031) and the presence of air leaks (1.92, p = 0.008). Non-invasive ventilation failure was independently associated with poor sleep quality (OR 3.02, p = 0.021) and short sleep duration (OR 0.77, p = 0.001). Sleep quality and duration were not associated with an increase in mortality or length of stay. Conclusions. The sleep of patients with ARF requiring NIV is impaired and is associated with a high rate of NIV failure. MDPI 2022-08-08 /pmc/articles/PMC9369912/ /pubmed/35956237 http://dx.doi.org/10.3390/jcm11154620 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lê Dinh, Matthieu
Darmon, Michael
Kouatchet, Achille
Jaber, Samir
Meziani, Ferhat
Perbet, Sebastien
Chanques, Gerald
Azoulay, Elie
Demoule, Alexandre
Factors Associated with and Prognosis Impact of Perceived Sleep Quality and Estimated Quantity in Patients Receiving Non-Invasive Ventilation for Acute Respiratory Failure
title Factors Associated with and Prognosis Impact of Perceived Sleep Quality and Estimated Quantity in Patients Receiving Non-Invasive Ventilation for Acute Respiratory Failure
title_full Factors Associated with and Prognosis Impact of Perceived Sleep Quality and Estimated Quantity in Patients Receiving Non-Invasive Ventilation for Acute Respiratory Failure
title_fullStr Factors Associated with and Prognosis Impact of Perceived Sleep Quality and Estimated Quantity in Patients Receiving Non-Invasive Ventilation for Acute Respiratory Failure
title_full_unstemmed Factors Associated with and Prognosis Impact of Perceived Sleep Quality and Estimated Quantity in Patients Receiving Non-Invasive Ventilation for Acute Respiratory Failure
title_short Factors Associated with and Prognosis Impact of Perceived Sleep Quality and Estimated Quantity in Patients Receiving Non-Invasive Ventilation for Acute Respiratory Failure
title_sort factors associated with and prognosis impact of perceived sleep quality and estimated quantity in patients receiving non-invasive ventilation for acute respiratory failure
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9369912/
https://www.ncbi.nlm.nih.gov/pubmed/35956237
http://dx.doi.org/10.3390/jcm11154620
work_keys_str_mv AT ledinhmatthieu factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure
AT darmonmichael factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure
AT kouatchetachille factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure
AT jabersamir factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure
AT mezianiferhat factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure
AT perbetsebastien factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure
AT chanquesgerald factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure
AT azoulayelie factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure
AT demoulealexandre factorsassociatedwithandprognosisimpactofperceivedsleepqualityandestimatedquantityinpatientsreceivingnoninvasiveventilationforacuterespiratoryfailure