Evidence map›Paper›PMID 37253613›Full record

Observational studyRespiratory care2023

Sleep Assessment in Critically Ill Patients With Acute Hypoxemic Respiratory Failure.

Arnaud W Thille, Damien Marie, Faustine Reynaud, Stéphanie Barrau, Clément Beuvon, Vanessa Bironneau, Etienne-Marie Jutant, Rémi Coudroy, Jean-Pierre Frat, Christophe Rault and 1 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Respiratory care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Observational
  3. Sleep and critical illness: a review.Frontiers in medicine · 2023
    Review
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

11 authors at 1 institution in 1 country.

Arnaud W ThilleINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Médecine Intensive Réanimation, Poitiers, France. aw.thille@gmail.com.
Damien MarieINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Médecine Intensive Réanimation, Poitiers, France.
Faustine ReynaudINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Médecine Intensive Réanimation, Poitiers, France.
Stéphanie BarrauINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Médecine Intensive Réanimation, Poitiers, France.
Clément BeuvonINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Médecine Intensive Réanimation, Poitiers, France.
Vanessa BironneauINSERM CIC 1402, ALIVE Research group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Pneumologie, Poitiers, France.
Etienne-Marie JutantINSERM CIC 1402, ALIVE Research group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Pneumologie, Poitiers, France.
Rémi CoudroyINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Médecine Intensive Réanimation, Poitiers, France.
Jean-Pierre FratINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Médecine Intensive Réanimation, Poitiers, France.
Christophe RaultINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Neurophysiologie clinique et Explorations fonctionnelles, Poitiers, France.
Xavier DrouotINSERM CIC 1402, ALIVE Research Group, University of Poitiers, Poitiers, France; and CHU de Poitiers, Neurophysiologie clinique et Explorations fonctionnelles, Poitiers, France.
Inserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSleep deprivation alters respiratory muscle performance and may precipitate respiratory failure. This study aimed to assess sleep in subjects admitted to ICU for acute hypoxemic respiratory failure and its role in the risk of intubation.

methodsThis was a prospective observational single-center cohort study including subjects admitted to ICU for de novo acute hypoxemic respiratory failure defined as breathing frequency ≥ 25 breaths/min or clinical signs of respiratory distress and P

resultsOver a 24-month inclusion period, 34 subjects had complete PSG, among whom 5 (15%) required intubation in the ICU. Total sleep time was 4.2 h in median (interquartile range 2.9-6.8); deep-sleep duration was 70 min (34-127), and rapid eye movement (REM) sleep duration was 9 min (0-28). Among them, 13 subjects (38%) had no REM sleep. Total sleep time and duration of deep and REM sleep stages did not differ between subjects who required intubation and those successfully treated with high-flow nasal oxygen.

conclusionsWhereas total sleep time remained relatively preserved in critically ill subjects with acute hypoxemic respiratory failure, REM sleep time was uncommon or completely absent in a large number of subjects. Sleep did not differ between subjects who required intubation and those who did not. However, given a trend toward an increased risk of intubation in subjects with a complete absence of REM sleep, further studies are needed to better explore the impact of REM sleep on the risk of intubation.

Indexed as

Critical IllnessRespiratory InsufficiencyCohort StudiesHumansHypoxiaIntubation, IntratrachealOxygenOxygen Inhalation TherapySleep DeprivationOxygenacute respiratory failureendotracheal intubationICUmechanical ventilationpolysomnographysleep

Identifiers

PMID37253613
PMCPMC10506642
OpenAlexW4378782487

What OpenQuestion holds

Textmetadata
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.