Evidence map›Paper›PMID 39994888›Full record

ArticleChronobiology international2025

Light levels in a modern intensive care unit: Impact of time of year, window directionality, and outdoor light levels.

Nikhil Chilakapati, Liz Timple, Sophia Pizzi, Janelle M Fine, Hirsh Makhija, Lauryn K Bruce, Robert L Owens, Douglas Alden, Atul Malhotra, Jennifer L Martin and 1 more

Abstract read
In one paragraph

Article in Chronobiology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Lymph node dissection, pain, and psychological factors: association with sleep quality during the perioperative period in oral cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Circadian Neurology.Continuum (Minneapolis, Minn.) · 2026
    Review
  4. Observational
  5. Article
  6. Observational
  7. 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.

Nikhil ChilakapatiDepartment of Bioengineering, University of California San Diego, La Jolla, California, USA.ORCID 0009-0004-3456-8144
Liz TimpleUniversity of California San Diego School of Medicine, University of California San Diego, La Jolla, California, USA.ORCID 0009-0004-6988-215X
Sophia PizziDivision of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, La Jolla, California, USA.
Janelle M FineDivision of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, La Jolla, California, USA.ORCID 0000-0002-6800-4222
Hirsh MakhijaDivision of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, La Jolla, California, USA.ORCID 0000-0001-8181-0168
Lauryn K BruceDepartment of Biomedical Informatics, University of California San Diego, La Jolla, California, USA.ORCID 0000-0002-1262-9127
Robert L OwensDivision of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, La Jolla, California, USA.
Douglas AldenCenter for Western Weather and Water Extremes, Scripps Institution of Oceanography, University of California San Diego, La Jolla, California, USA.
Atul MalhotraDivision of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, La Jolla, California, USA.
Jennifer L MartinDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.ORCID 0000-0003-0849-3391
Biren B KamdarDivision of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, La Jolla, California, USA.ORCID 0000-0002-9245-6229

Funding

San Diego Biomedical Informatics Education & Research (SABER)T15LM011271 · NLM · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHAMIM NEMATI · 2012 to 2026
$9.7M
Multicomponent intervention to improve delirium and sleep-wake rhythms in older ICU patientsK76AG059936 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KAMDAR, BIREN BHARAT · 2018 to 2022
$1.4M
Sleep health in special populationsK24HL143055 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MARTIN, JENNIFER L · 2018 to 2025
$898k
NHLBI NIH HHS K24 HL143055NIA NIH HHS K76 AG059936NLM NIH HHS T15 LM011271
6 · The paper itself

Abstract

The intensive care unit (ICU) environment is designed for the care of acutely ill patients, with lighting conditions reflecting the needs of the busy clinical setting. Earlier ICU studies suggested that daytime and nighttime light levels were misaligned with those required for circadian rhythm entrainment, which can impact patient sleep-wake cycles and recovery from critical illness. In this investigation in San Diego, California, a coastal US city with over 260 days of sunshine annually, we performed a detailed evaluation of light levels in a contemporary academic medical-surgical ICU constructed in 2016, which features modern lighting and floor-to-ceiling windows in each of the 24 rooms. Using light meters mounted on poles and located directly behind the head of each patient's bed, our analysis of nearly 90,000 hours of data revealed daytime ICU light levels consistently lower than 150 lx, similar to studies in older ICUs and many magnitudes lower than outdoor levels at identical times. Hence, despite the modern design, we found that little to no light from the ~100 ft

Indexed as

Circadian RhythmIntensive Care UnitsLightLightingHumansPhotoperiodSeasonsSleepTime Factorscircadian rhythmshospital design and constructionintensive care unitLightingsunlight

Identifiers

PMID39994888
PMCPMC11978242

What OpenQuestion holds

Textmetadata
LicenceTDM
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.