- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01924507
Bedside Sleep Medicine
Intensive Cared Bedside Sleep Medicine
The investigators aimed to evaluated the role of bedside sleep medicine in an cardiology intensive care unit. The patients will be submitted to a overnight polysomnography. Those individuals with sleep apnea will be treated with CPAP during the ICU admission. Also, the investigators will identify the factors that compromise the sleep and will act to minimize them to improve the sleep quality.
After the interventions, the investigators will evaluate if there are reduced days of hospital admission, major cardiovascular events (infarction, reinfarction, heart failure and stroke) and overall mortality.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Fatima Cintra, MD, PhD
- Phone Number: 55-11-55764618
- Email: fatimacintra@interair.com.br
Study Contact Backup
- Name: Luciana Storti Mancuso, BSN
- Phone Number: 55-11-55764230
- Email: ljstorti@hotmail.com
Study Locations
-
-
SP
-
Sao Paulo, SP, Brazil, 04128000
- Recruiting
- Hospital Sao Paulo - Federal University of Sao Paulo
-
Contact:
- Fatima Cintra, MD, PhD
- Phone Number: 55-11-55764618
- Email: fatimacintra@interair.com.br
-
Principal Investigator:
- Fatima Cintra, MD, PhD
-
Sub-Investigator:
- Luciana Storti Mancuso, BSN
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Acute myocardial infarction
- Acute decompensated heart failure
- Age > 18 years-old
- Cardiology intensive care unit admission
Exclusion Criteria:
- Intravenous sedation
- Invasive mechanical ventilation
- hemodynamic instability
- use of intravenous vasoactive drugs
- acute respiratory failure
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: CPAP
Patients with apnea will be treated with CPAP during the night.
|
CPAP - continuous positive air pressure in patients with sleep apnea
|
No Intervention: Control
One arm group will be control and will not receive CPAP treatment during the ICU admission.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
days of admission
Time Frame: 7 days
|
Days of admission in the cardiology intensive care unit
|
7 days
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Combination of acute myocardial infarction, reinfarction, heart failure and stroke
Time Frame: 12 months
|
12 months
|
Other Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Overall mortality
Time Frame: 12 months
|
12 months
|
Collaborators and Investigators
Publications and helpful links
General Publications
- Elliott R, McKinley S, Cistulli P. The quality and duration of sleep in the intensive care setting: an integrative review. Int J Nurs Stud. 2011 Mar;48(3):384-400. doi: 10.1016/j.ijnurstu.2010.11.006. Epub 2010 Dec 24.
- Richards KC, O'Sullivan PS, Phillips RL. Measurement of sleep in critically ill patients. J Nurs Meas. 2000 Fall-Winter;8(2):131-44.
- Marin JM, Carrizo SJ, Vicente E, Agusti AG. Long-term cardiovascular outcomes in men with obstructive sleep apnoea-hypopnoea with or without treatment with continuous positive airway pressure: an observational study. Lancet. 2005 Mar 19-25;365(9464):1046-53. doi: 10.1016/S0140-6736(05)71141-7.
- Gami AS, Olson EJ, Shen WK, Wright RS, Ballman KV, Hodge DO, Herges RM, Howard DE, Somers VK. Obstructive sleep apnea and the risk of sudden cardiac death: a longitudinal study of 10,701 adults. J Am Coll Cardiol. 2013 Aug 13;62(7):610-6. doi: 10.1016/j.jacc.2013.04.080. Epub 2013 Jun 13.
- Freedman NS, Kotzer N, Schwab RJ. Patient perception of sleep quality and etiology of sleep disruption in the intensive care unit. Am J Respir Crit Care Med. 1999 Apr;159(4 Pt 1):1155-62. doi: 10.1164/ajrccm.159.4.9806141.
- Aaron JN, Carlisle CC, Carskadon MA, Meyer TJ, Hill NS, Millman RP. Environmental noise as a cause of sleep disruption in an intermediate respiratory care unit. Sleep. 1996 Nov;19(9):707-10. doi: 10.1093/sleep/19.9.707.
- Martinez-Garcia MA, Campos-Rodriguez F, Catalan-Serra P, Soler-Cataluna JJ, Almeida-Gonzalez C, De la Cruz Moron I, Duran-Cantolla J, Montserrat JM. Cardiovascular mortality in obstructive sleep apnea in the elderly: role of long-term continuous positive airway pressure treatment: a prospective observational study. Am J Respir Crit Care Med. 2012 Nov 1;186(9):909-16. doi: 10.1164/rccm.201203-0448OC. Epub 2012 Sep 13.
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Ischemia
- Pathologic Processes
- Necrosis
- Myocardial Ischemia
- Heart Diseases
- Cardiovascular Diseases
- Vascular Diseases
- Nervous System Diseases
- Respiratory Tract Diseases
- Apnea
- Respiration Disorders
- Sleep Disorders, Intrinsic
- Dyssomnias
- Neurologic Manifestations
- Myocardial Infarction
- Infarction
- Heart Failure
- Sleep Apnea Syndromes
- Sleep Wake Disorders
Other Study ID Numbers
- bedsidesleep
- AFIP (Other Grant/Funding Number: AFIP)
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