ICU sedation, delirium & recovery

Improving sleep in intensive care units (ICUs) through real-time sleep monitoring: a proof-of-concept study

Ann Intensive CarePublished Quasi-experimental prospective before-after study

Authors' conclusion

Our study reports for the first time that real-time sleep monitoring can guide nursing care and improve sleep quality in ICUs.

Study context

Population
Non-sedated ICU patients, mainly admitted for acute respiratory failureanalysed
Participants
46 patients
Exposure
Sleep-guided care vs usual care
  • Sleep-guided caren = 20
  • Usual caren = 26reference
Outcome
Continuous sleep (time spent in long sleep episodes)
Methodological detailsproof-of-concept, blinded sleep scoring
  • Proof-of-concept
  • Blinded sleep scoring

Main finding

As reported in the abstract

P = 0.03

Observational data: associations, not effects.

Further findings

OutcomeSleep-guided careUsual careP value
Proportion of room entries while patients asleep6% (IQR 0–13)22% (IQR 4–32)P = 0.015

Deep sleep

Deep sleep likewise longer in the sleep-guided care group

Original publication

Improving sleep in ICUs through real-time sleep monitoring: a proof-of-concept study. Ann Intensive Care. Published 1 April 2026. doi:10.1016/j.aicoj.2026.100059

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