Atrial Fibrillation, Complications, Postoperative, Delirium, Postoperative, Sleep
Conditions
Keywords
Cardiac surgery, Sleep quality
Brief summary
Sleep is a basic human need and is essential for good quality of life, good health. In fact, humans spend one third of their life time in sleeping or attempting to do so. However, sleep is not given due importance in intensive care unit (ICU)'s, although it is critical in healing process. Patient's usually get admitted to the hospital few days prior to the surgery, for complete evaluation, depending on the procedure planned. Hospital environment being, an entirely new place for inpatients, will invariably affect their sleep. Sleep deprivation is one of the major sources of anxiety and stress in all the patients during ICU stay. This means that most of patients are sleep deprived, by the time they are admitted to ICU. The negative effects of sleep deprivation include postoperative brain dysfunction like inattention, restlessness, hallucinations, agitation, aggressiveness. The degree of cognitive impairment may range from subtle derangements in attention, reason, clarity of thought and capacity of decision making to confusion and delirium. Sleep deprivation can also induce hypertension, fatigue, metabolic disorders, cerebrovascular and cardiovascular disease
Interventions
DEVICEEye masks and ear plugs
Eye masks and ear plugs given during sleeping time in Icu After cardiac surgery
Sponsors
Amrita Institute of Medical Sciences & Research Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Adult cardiac surgical patients aged above 18years undergoing elective cardiac surgery
Exclusion criteria
* Not willing to give consent * Preoperative sleep medications use * Preoperative psychological disorders, on mechanical ventilation for \>12hrs, dementia, cerebrovascular accident
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of sleep | 6 months | On the morning after the intervention, patient's sleep quality will be assessed using Richard-Campbell sleep questionnaire (RCSQ). Each point in RCSQ will be scored using a visual analog score, ranging from 0-100. Total score will be calculated and then will be divided by 5. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Atrial fibrillation | 6 months | Postoperative atrial fibrillation |
| Delirium | 6 months | Postoperative Delirium |
| Intensive care unit stay | 6 months | Duration of intensive care unit stay (in hours to days) |
| Vasoactive inotropic score | 6 months | Vasoactive inotropic score is calculated by multiplying the dose of each vasoactive drug used with 10. (minimum score is 0, while maximum score can go upto 20. Higher the score worse is the outcome |
| Mechanical ventilation | 6 months | Duration of mechanical ventilation (hours) |
Countries
India
Contacts
Primary ContactNagarjuna P, MD, DM
Backup ContactNagarjuna P
Outcome results
None listed