Comparison of sleep and behavioral problems in post discharge children of pediatric intensive care with non-hospitalized controls
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 5, Issue 1
Abstract
Background: Sleep and behavior disorders in pediatric survivors of critical illness have been a neglected area of research. We aimed to screen the children admitted in the pediatric intensive care unit for a minimum of 72hrs after 1 month of discharge for sleep and behavioral issues and compare with normal healthy controls. Materials and Methods: In this prospective case control study, parents of children aged between 4-15 years admitted in the pediatric intensive care unit for a minimum period of 72 hrs were administered the Child Sleep Habits Questionnaire and Strengths and Difficulties Questionnaire. The scores were compared with that of age and gender matched normal healthy controls. Results: Of the 98 children screened, 49 were children discharged from the intensive care. Sixty three percent (n=31) of the intensive care survivors screened positive for sleep problems compared to 53% (n=26) in the control group although it was not statistically significant. The cases however had significant increase in the night waking and parasomnia subscale (p value<0.05). There was no difference in the total difficulties score between the 2 groups. A length of stay in the intensive care unit of > 7days was significantly associated with night waking and increase in the total difficulties score, predominantly the conduct and peer problems subscale. Conclusion: Children admitted in intensive care are at risk for sleep problems a month after discharge.
Authors and Affiliations
Sangeetha Shenoy, Shruti Patil
Keywords
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