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Sleep Quality in ICU Subjects Receiving Noninvasive Respiratory Support: A Prospective Observational Study.

Background: Sleep deprivation is common in critically ill patients because of disease severity and ICU conditions, yet sleep quality in those requiring noninvasive respiratory support remains understudied. Methods: This prospective observational study in a teaching hospital ICU enrolled subjects on...

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Publicado en:Respiratory Care Vol. 71; no. 5; pp. 480 - 486
Autores principales: Hu, Wenhui, Ma, Mengyi, Bai, Linfu, Min, Yiwei, Hong, Yueling, Duan, Jun
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. May2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
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      pub: Mary Ann Liebert, Inc.
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        atl: Sleep Quality in ICU Subjects Receiving Noninvasive Respiratory Support: A Prospective Observational Study.
      aug:
        au:
          Hu, Wenhui
          Ma, Mengyi
          Bai, Linfu
          Min, Yiwei
          Hong, Yueling
          Duan, Jun
        affil: Dr. Hu, Ms. Ma, Dr. Bai, Ms. Min, Ms. Hong, and Dr. Duan are affiliated with the Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing, P.R. China.
      sug:
        subj:
          Sleep Quality Evaluation
          Intensive Care Units
          Respiration, Artificial
          Noninvasive Procedures
          Nasal Cannula
          Oxygen Therapy
          Polysomnography
          Human
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Critically Ill Patients
          Prospective Studies
          Nonexperimental Studies
          Comparative Studies
          Descriptive Statistics
          Data Analysis Software
          Chi Square Test
          Fisher's Exact Test
          Unpaired T-Tests
          Mann-Whitney U Test
          Electroencephalography
          Sleep Stages
          Sleep Duration
          Sleep Latency
          Sleep, REM
          Arousal
          Wakefulness
          Critical Illness
          Sleep Deprivation
          Masks
          Work of Breathing Evaluation
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Sleep deprivation is common in critically ill patients because of disease severity and ICU conditions, yet sleep quality in those requiring noninvasive respiratory support remains understudied. Methods: This prospective observational study in a teaching hospital ICU enrolled subjects on noninvasive ventilation (NIV) or high-flow nasal cannula (HFNC) who could tolerate overnight polysomnography (PSG). Sleep was assessed using standard PSG from 22:00 in the evening until 08:00 the following morning. The primary outcome was to evaluate sleep quantity and quality. Results: A total of 72 subjects (43 NIV and 29 HFNC) were included in the study. Compared with healthy adults, subjects receiving noninvasive respiratory support exhibited significantly shorter total sleep time (median 396.0 vs 279.5 min), lower sleep efficiency (85.7% vs 45.9%), longer wake after sleep onset (48.2 vs 297.1 min), higher stage 1 of non-rapid-eye movement (non-REM) sleep (N1, 7.9% vs 37.8%), lower stage 3 of non-REM sleep (N3, 20.4% vs 4.9%), lower REM sleep (19.0% vs 9.4%), longer REM latency (97.4 vs 171.7 min), and a higher arousal index (AI, 12.6 vs 39.2 per hour; all P <.01). No significant differences were found between NIV and HFNC subgroups. However, clinically improved subjects (n = 60) had lower N1 (35.6% vs 50.0%, P <.01) and higher REM sleep (10.3% vs 4.9%, P =.02) than this without clinical improvement (n = 12). Conclusions: In the ICU setting, noninvasive respiratory support subjects experienced poor sleep quality, with no modality difference (NIV vs HFNC). However, subjects with clinical improvement demonstrated relatively better sleep quality than those without improvement.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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