Use of actigraphy for monitoring agitation and rest-activity cycles in patients with acute traumatic brain injury in the ICU.

Autor:	Saavedra-Mitjans M; Faculté de Pharmacie, Université de Montréal, Montréal (Québec), Canada.; Research Centre, Centre intégré universitaire de Santé et de Services sociaux du Nord-de-l'île-de-Montréal, Montreal, Canada., Van der Maren S; Center for Advanced Research in Sleep Medicine, Centre intégré universitaire de santé et de Services sociaux du Nord-de-l'île-de-Montréal, Montreal, Canada.; Département de Psychologie, Université de Montréal, Montréal (Québec), Canada., Gosselin N; Center for Advanced Research in Sleep Medicine, Centre intégré universitaire de santé et de Services sociaux du Nord-de-l'île-de-Montréal, Montreal, Canada.; Département de Psychologie, Université de Montréal, Montréal (Québec), Canada., Duclos C; Center for Advanced Research in Sleep Medicine, Centre intégré universitaire de santé et de Services sociaux du Nord-de-l'île-de-Montréal, Montreal, Canada.; Department of Anesthesiology and Pain Medicine, Department of Neuroscience, Faculté de médecine, Université de Montréal, Montréal (Québec), Canada.; CIFAR Azrieli Global Scholars Program, Toronto, Canada., Frenette AJ; Research Centre, Centre intégré universitaire de Santé et de Services sociaux du Nord-de-l'île-de-Montréal, Montreal, Canada.; Pharmacy Department, Centre intégré universitaire de santé et de Services sociaux du Nord-de-l'île-de-Montréal, Montreal, Canada., Arbour C; Faculté de Pharmacie, Université de Montréal, Montréal (Québec), Canada.; Faculté de Sciences Infirmières, Université de Montréal, Montréal (Québec), Canada., Burry L; Department of Pharmacy and Medicine, Sinai Health System, Toronto, Ontario, Canada.; Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada., Williams V; Faculté de Pharmacie, Université de Montréal, Montréal (Québec), Canada., Bernard F; Faculté de Pharmacie, Université de Montréal, Montréal (Québec), Canada.; Faculté de Médecine, Université de Montréal, Montréal (Québec), Canada., Williamson DR; Faculté de Pharmacie, Université de Montréal, Montréal (Québec), Canada.; Research Centre, Centre intégré universitaire de Santé et de Services sociaux du Nord-de-l'île-de-Montréal, Montreal, Canada.
Jazyk:	angličtina
Zdroj:	Brain injury [Brain Inj] 2024 Jul 28; Vol. 38 (9), pp. 692-698. Date of Electronic Publication: 2024 Apr 18.
DOI:	10.1080/02699052.2024.2341323
Abstrakt:	Background: In traumatic brain injury patients (TBI) admitted to the intensive care unit (ICU), agitation can lead to accidental removal of catheters, devices as well as self-extubation and falls. Actigraphy could be a potential tool to continuously monitor agitation. The objectives of this study were to assess the feasibility of monitoring agitation with actigraphs and to compare activity levels in agitated and non-agitated critically ill TBI patients. Methods: Actigraphs were placed on patients' wrists; 24-hour monitoring was continued until ICU discharge or limitation of therapeutic efforts. Feasibility was assessed by actigraphy recording duration and missing activity count per day. Results: Data from 25 patients were analyzed. The mean number of completed day of actigraphy per patient was 6.5 ± 5.1. The mean missing activity count was 20.3 minutes (±81.7) per day. The mean level of activity measured by raw actigraphy counts per minute over 24 hours was higher in participants with agitation than without agitation. Conclusions: This study supports the feasibility of actigraphy use in TBI patients in the ICU. In the acute phase of TBI, agitated patients have higher levels of activity, confirming the potential of actigraphy to monitor agitation.
Databáze:	MEDLINE
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