Pediatric anesthesia & critical care
Parental Perspectives From the Survey of Sleep Quality in the PICU Validation Study on Environmental Factors Causing Sleep Disruption in Critically Ill Children*
Authors' conclusion
There are multiple aspects of critical care environments that affect the sleep of children, which are different from that of adults, such as disruption to home schedules.
Study context
- Population
- Parents sleeping at the bedside of a child in 4 Northeastern US PICUs or a hospital-based pediatric sleep laboratory
- Comparison
- PICU vs Sleep laboratory
- PICUn = 152
- Primary endpoint
- Parent-reported level of child sleep disruption by environmental factors (Likert scale, higher = more disruption)
Methodological detailsSurvey of Sleep quality in the PICU, anonymous one-time survey
- Survey of Sleep quality in the PICU
- Anonymous one-time survey
Primary result
As reported in the abstract
Child sleep disrupted significantly by PICU aspects (parent-reported)
- Disrupted significantly by at least one aspect of being in the PICU
- 71%
- Being in pain or uncomfortable because sick
- 38%
- Not sleeping at home
- 30%
- Alarms on machines
- 28%
- Not sleeping on home schedule
- 26%
- Excessive nocturnal light exposure
- 5%
Further findings
Overall sleep disruption across PICUs and by sedation
- Not different across 4 PICUs or in those receiving sedation
Sleep disruption, PICU vs sleep laboratory controls
- Healthy children undergoing polysomnography had less sleep disruption than those in a PICU
Original publication
Parental Perspectives From the Survey of Sleep Quality in the PICU Validation Study on Environmental Factors Causing Sleep Disruption in Critically Ill Children*. Crit Care Med. Published 13 September 2024. doi:10. 1097/ ccm. 0000000000006403
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