ICU sedation, delirium & recovery

The trajectory of sleep after critical illness: a 24-month follow-up study

Ann Intensive CarePublished Prospective observational cohort study

Authors' conclusion

Our findings reveal that a subset of critical illness survivors requires up to 24 months after the acute phase to fully restore their sleep quality, while a significant proportion does not experience a clinically significant improvement in sleep quality over this period.

Study context

Population
ICU survivors of SARS-CoV-2 infection69.9% males
Participants
196 survivors
Exposure
Sleep quality trajectory groups: healthy vs minimal clinically important improvement (MCII) vs non-MCII
Outcome
Trajectory of sleep quality (PSQI score) from short-term assessment to 24 months after hospital discharge
Follow-up
Up to 24 months
Methodological details24-month follow-up
  • 24-month follow-up

Main finding

As reported in the abstract

Change in PSQI score, short-term to 24-month follow-up (global population)

Mean change in PSQI score (95% CI - 1.50 to - 0.31) points

- 0.91

Observational data: associations, not effects.

Further findings

Mental health (HADS) and quality of life (SF-12 mental score)

PSQI score trajectories closely aligned with those of the HADS and SF-12 mental scores

Original publication

The trajectory of sleep after critical illness: a 24-month follow-up study. Ann Intensive Care. Published 28 February 2025. doi:10.1186/s13613-025-01449-9

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