Evidence map›Paper›PMID 28168516›Full record

ArticleIntensive care medicine experimental2017

'In a dark place, we find ourselves': light intensity in critical care units.

Hannah J Durrington, Richard Clark, Ruari Greer, Franck P Martial, John Blaikley, Paul Dark, Robert J Lucas, David W Ray

Open access · goldAbstract readLetter
In one paragraph

Article in Intensive care medicine experimental, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Observational
  9. Sleep and critical illness: a review.Frontiers in medicine · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Dim light at night exacerbates stroke outcome.The European journal of neuroscience · 2020
    Article
  16. Article
  17. Impact of Light Intensity on Sleep of Patients in the Intensive Care Unit: A Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Article
  18. Article
  19. Sleep in the Intensive Care Unit: Strategies for Improvement.Seminars in respiratory and critical care medicine · 2019
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Hannah J DurringtonDivision of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, AV Hill Building, University of Manchester, Manchester, M139PT, UK. Hannah.durrington@manchester.ac.uk.
Richard ClarkManchester Emergency and Intensive Care Research Group, Central Manchester Foundation Trust, Oxford Road, Manchester, M139WL, UK.
Ruari GreerIntensive Care Unit, Central Manchester Foundation Trust, Oxford Road, Manchester, M139WL, UK.
Franck P MartialNeuroscience and Experimental Psychology, Faculty of Biology, Medicine and Health, AV Hill Building, University of Manchester, Manchester, M139PT, UK.
John BlaikleyDivision of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, AV Hill Building, University of Manchester, Manchester, M139PT, UK.
Paul DarkDivision of Infection, Immunity and Respiratory Medicine, Faculty of Biology, Medicine and Health, AV Hill Building, University of Manchester, Manchester, M139PT, UK.
Robert J LucasNeuroscience and Experimental Psychology, Faculty of Biology, Medicine and Health, AV Hill Building, University of Manchester, Manchester, M139PT, UK.
David W RayDivision of Metabolism and Endocrinology, Faculty of Biology, Medicine and Health, AV Hill Building, University of Manchester, Manchester, M139PT, UK.
University of Manchester · GBManchester University NHS Foundation Trust · GBSalford Royal NHS Foundation Trust · GB

Funding

Medical Research Council MR/L006499/1
6 · The paper itself

Abstract

Intensive care units provide specialised care for critically ill patients around the clock. However, intensive care unit patients have disrupted circadian rhythms. Furthermore, disrupted circadian rhythms are associated with worse outcome. As light is the most powerful 're-setter' of circadian rhythm, we measured light intensity on intensive care unit. Light intensity was low compared to daylight during the 'day'; frequent bright light interruptions occurred over 'night'. These findings are predicted to disrupt circadian rhythms and impair entrainment to external time. Bright lighting during daytime and black out masks at night might help maintain biological rhythms in critically ill patients and improve clinical outcomes.

Identifiers

PMID28168516
PMCPMC5293701
OpenAlexW2587273470

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.