Evidence map›Paper›PMID 29157258›Full record

Trial reportCritical care (London, England)2017

Impact of earplugs and eye mask on sleep in critically ill patients: a prospective randomized study.

Alexandre Demoule, Serge Carreira, Sophie Lavault, Olivier Pallanca, Elise Morawiec, Julien Mayaux, Isabelle Arnulf, Thomas Similowski

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Critical care (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02292134 (Benefit of an Individual Protection Against Noise and Light on Sleep Quality in ICU Patients), which is not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
5.4field-weighted citation impact, top 3% 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.

NCT02292134 phase3completednot on this map

Benefit of an Individual Protection Against Noise and Light on Sleep Quality in ICU Patients

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2012 to 2013Enrolled64ConditionsIntensive Care Unit PatientsArmsearplug and sleep mask
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 123 citations in OpenAlex.

  1. Pooled it
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  16. Observational
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  18. Sleep during and following critical illness: A narrative review.World journal of critical care medicine · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Alexandre DemouleNeurophysiologie respiratoire expérimentale et clinique, Sorbonne Universités, UPMC Université Paris 06, INSERM, UMRS1158, Paris, France. alexandre.demoule@aphp.fr.ORCID http://orcid.org/0000-0002-0432-7217
Serge CarreiraNeurophysiologie respiratoire expérimentale et clinique, Sorbonne Universités, UPMC Université Paris 06, INSERM, UMRS1158, Paris, France.
Sophie LavaultAssistance Publique - Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des pathologies du sommeil, Paris, France.
Olivier PallancaAssistance Publique - Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des pathologies du sommeil, Paris, France.
Elise MorawiecNeurophysiologie respiratoire expérimentale et clinique, Sorbonne Universités, UPMC Université Paris 06, INSERM, UMRS1158, Paris, France.
Julien MayauxService de Pneumologie et Réanimation Médicale (Département "R3S"), Assistance Publique - Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, 47-83 boulevard de l'Hôpital, 75651, Paris, Cedex 13, France.
Isabelle ArnulfAssistance Publique - Hôpitaux de Paris, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des pathologies du sommeil, Paris, France.
Thomas SimilowskiNeurophysiologie respiratoire expérimentale et clinique, Sorbonne Universités, UPMC Université Paris 06, INSERM, UMRS1158, Paris, France.
Inserm · FRSorbonne Université · FR

Funding

Agence Nationale de la Recherche Investissement d'Avenir ANR-10-AIHU 06Ministère des Affaires Sociales et de la Santé PHRC Regional 2009
6 · The paper itself

Abstract

backgroundPoor sleep is common in intensive care unit (ICU) patients, where environmental factors contribute to reduce and fragment sleep. The objective of this study was to evaluate the impact of earplugs and eye mask on sleep architecture in ICU patients.

methodsA single-center randomized controlled trial of 64 ICU patients was conducted from July 2012 to December 2013. Patients were randomly assigned to sleep with or without earplugs and an eye mask from inclusion until ICU discharge. Polysomnography was performed on the first day and night following inclusion. The primary outcome was the proportion of stage N3 sleep over total sleep time. Secondary outcomes were other descriptors of sleep and major outcome variables.

resultsIn the intervention group, nine (30%) patients did not wear earplugs all night long. The proportion of N3 sleep was 21 [7-28]% in the intervention group and 11 [3-23]% in the control group (p = 0.09). The duration of N3 sleep was higher among the patients in the intervention group who wore earplugs all night long than in the control group (74 [32-106] vs. 31 [7-76] minutes, p = 0.039). The number of prolonged awakenings was smaller in the intervention group (21 [19-26] vs. 31 [21-47] in the control group, p = 0.02). No significant difference was observed between the two groups in terms of clinical outcome variables.

conclusionsEarplugs and eye mask reduce long awakenings and increase N3 duration when they are well tolerated.

trial registrationClinicalTrials.gov, NCT02292134 . Registered on 21 Nov 2013.

Indexed as

AgedCritical IllnessEar Protective DevicesEye Protective DevicesFemaleHumansIntensive Care UnitsLightMaleMasksMiddle AgedNoiseParisPolysomnographyProspective StudiesSleep DeprivationDeliriumEarplugsEye maskIntensive carePolysomnographySleep

Identifiers

PMID29157258
PMCPMC5696771
OpenAlexW2768212367

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.