Insomnia is associated with quality of life impairment in medical-surgical intensive care unit survivors

Elizabeth C. Parsons; Catherine L. Hough; Michael V. Vitiello; Douglas Zatzick; Dimitry S. Davydow

doi:10.1016/j.hrtlng.2014.11.002

Insomnia is associated with quality of life impairment in medical-surgical intensive care unit survivors

Elizabeth C. Parsons, Catherine L. Hough, Michael V. Vitiello, Douglas Zatzick, Dimitry S. Davydow

Research output: Contribution to journal › Article › peer-review

23 Scopus citations

Abstract

Objectives: To examine the prevalence of insomnia and its relationship to health-related quality of life (HRQOL) post-intensive care unit (ICU). Background: The burden of post-ICU insomnia is unknown. Methods: This cross-sectional study examined data from 120 patients with an ICU stay >24h. Pre-hospital health was assessed in-hospital. Insomnia, HRQOL and post-ICU psychiatric symptoms were assessed at 12 months post-ICU. Results: Over one-quarter (28%) of subjects met insomnia criteria at 12 months post-ICU. Post-ICU insomnia was independently associated with worse mental HRQOL (P<0.01), as well as worse scores on the HRQOL sub-domains of bodily pain (P<0.001), vitality (P<0.05) and physical function (P<0.05). However, these associations were no longer significant after adjusting for post-ICU psychiatric symptoms (P=0.33). Conclusions: Insomnia is common among ICU survivors. Post-ICU insomnia is significantly associated with mental HRQOL and could identify ICU survivors who may benefit from further psychiatric evaluation.

Original language	English (US)
Pages (from-to)	89-94
Number of pages	6
Journal	Heart and Lung
Volume	44
Issue number	2
DOIs	https://doi.org/10.1016/j.hrtlng.2014.11.002
State	Published - Mar 1 2015
Externally published	Yes

Keywords

Critical care
Depression
Insomnia
Intensive care
Outcome assessment
Post-traumatic stress disorder

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

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10.1016/j.hrtlng.2014.11.002

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title = "Insomnia is associated with quality of life impairment in medical-surgical intensive care unit survivors",

abstract = "Objectives: To examine the prevalence of insomnia and its relationship to health-related quality of life (HRQOL) post-intensive care unit (ICU). Background: The burden of post-ICU insomnia is unknown. Methods: This cross-sectional study examined data from 120 patients with an ICU stay >24h. Pre-hospital health was assessed in-hospital. Insomnia, HRQOL and post-ICU psychiatric symptoms were assessed at 12 months post-ICU. Results: Over one-quarter (28%) of subjects met insomnia criteria at 12 months post-ICU. Post-ICU insomnia was independently associated with worse mental HRQOL (P<0.01), as well as worse scores on the HRQOL sub-domains of bodily pain (P<0.001), vitality (P<0.05) and physical function (P<0.05). However, these associations were no longer significant after adjusting for post-ICU psychiatric symptoms (P=0.33). Conclusions: Insomnia is common among ICU survivors. Post-ICU insomnia is significantly associated with mental HRQOL and could identify ICU survivors who may benefit from further psychiatric evaluation.",

keywords = "Critical care, Depression, Insomnia, Intensive care, Outcome assessment, Post-traumatic stress disorder",

author = "Parsons, {Elizabeth C.} and Hough, {Catherine L.} and Vitiello, {Michael V.} and Douglas Zatzick and Davydow, {Dimitry S.}",

note = "Funding Information: Financial/Non-financial disclosures: This work was performed at Harborview Medical Center, supported by grants KL2 TR000421 , NRSA-T32/MH20021–12 , R03 AA020146-02 , and K24 MH086814-03 from the National Institutes of Health and grant ADAI-1009-2 from the University of Washington Alcohol and Drug Abuse Institute . The views expressed here are those of the authors and do not reflect the position or policy of the Department of Veterans Affairs. ",

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doi = "10.1016/j.hrtlng.2014.11.002",

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T1 - Insomnia is associated with quality of life impairment in medical-surgical intensive care unit survivors

AU - Parsons, Elizabeth C.

AU - Hough, Catherine L.

AU - Vitiello, Michael V.

AU - Zatzick, Douglas

AU - Davydow, Dimitry S.

N1 - Funding Information: Financial/Non-financial disclosures: This work was performed at Harborview Medical Center, supported by grants KL2 TR000421 , NRSA-T32/MH20021–12 , R03 AA020146-02 , and K24 MH086814-03 from the National Institutes of Health and grant ADAI-1009-2 from the University of Washington Alcohol and Drug Abuse Institute . The views expressed here are those of the authors and do not reflect the position or policy of the Department of Veterans Affairs.

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Objectives: To examine the prevalence of insomnia and its relationship to health-related quality of life (HRQOL) post-intensive care unit (ICU). Background: The burden of post-ICU insomnia is unknown. Methods: This cross-sectional study examined data from 120 patients with an ICU stay >24h. Pre-hospital health was assessed in-hospital. Insomnia, HRQOL and post-ICU psychiatric symptoms were assessed at 12 months post-ICU. Results: Over one-quarter (28%) of subjects met insomnia criteria at 12 months post-ICU. Post-ICU insomnia was independently associated with worse mental HRQOL (P<0.01), as well as worse scores on the HRQOL sub-domains of bodily pain (P<0.001), vitality (P<0.05) and physical function (P<0.05). However, these associations were no longer significant after adjusting for post-ICU psychiatric symptoms (P=0.33). Conclusions: Insomnia is common among ICU survivors. Post-ICU insomnia is significantly associated with mental HRQOL and could identify ICU survivors who may benefit from further psychiatric evaluation.

AB - Objectives: To examine the prevalence of insomnia and its relationship to health-related quality of life (HRQOL) post-intensive care unit (ICU). Background: The burden of post-ICU insomnia is unknown. Methods: This cross-sectional study examined data from 120 patients with an ICU stay >24h. Pre-hospital health was assessed in-hospital. Insomnia, HRQOL and post-ICU psychiatric symptoms were assessed at 12 months post-ICU. Results: Over one-quarter (28%) of subjects met insomnia criteria at 12 months post-ICU. Post-ICU insomnia was independently associated with worse mental HRQOL (P<0.01), as well as worse scores on the HRQOL sub-domains of bodily pain (P<0.001), vitality (P<0.05) and physical function (P<0.05). However, these associations were no longer significant after adjusting for post-ICU psychiatric symptoms (P=0.33). Conclusions: Insomnia is common among ICU survivors. Post-ICU insomnia is significantly associated with mental HRQOL and could identify ICU survivors who may benefit from further psychiatric evaluation.

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KW - Outcome assessment

KW - Post-traumatic stress disorder

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Insomnia is associated with quality of life impairment in medical-surgical intensive care unit survivors

Abstract

Keywords

ASJC Scopus subject areas

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