Critical Illness, ICU, ICU Hospitalization, Melatonin, Sleep
Conditions
Brief summary
This is a pilot study to examine the effects of melatonin on the sleep patterns of critically ill patients. Patients will have their sleep patterns measured with a device attached to their head with a headband then be given a dose of melatonin. Their participation in the study will last two days.
Interventions
patients in this arm will recieve melatonin
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years or older, admitted to the ICU * Expected length of stay of at least 48 hours * Not mechanically ventilated * Able to take oral medications. * Hemodynamically stable as determined by the treating ICU physician * Able to provide informed consent or have consent provided by a legally -authorized representative.
Exclusion criteria
* Mechanically ventilated * Currently using melatonin prior to ICU admission, * Have neurological conditions that may significantly alter sleep architecture, such as traumatic brain injury, stroke, or severe dementia. * Pregnant or lactating individuals * Those individuals with a comfort measures-only status
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sleep Efficiency as measured by total sleep time over time in bed | From enrollment to the end of 48 hours of the last subject's participation in the study | These measures are obtained from the sleep profiler. Higher sleep efficiency is better. |
| , Total sleep time in hours and minutes | From enrollment to the end of 48 hours of the last subject's participation in the study | These measures are obtained from the sleep profiler. |
| , Delta to Theta ratio | From enrollment to the end of 48 hours of the last subject's participation in the study | These measures are obtained from the sleep profiler Higher delta to Theta ratio is better |
| , Arousal Index | From enrollment to the end of 48 hours of the last subject's participation in the study | These measures are obtained from the sleep profiler. Lower arousal index is better |
Contacts
Rutgers Robert Wood Johnson Medical School